Organization
IKIGAI NUTRITION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE WU MS, RDN (CEO)
(323) 628-3158
Entity
Organization
Contact information
Practice address
10501 WILSHIRE BLVD STE 604, LOS ANGELES, CA 90024-6325
(323) 628-3158
Mailing address
10501 WILSHIRE BLVD UNIT 1703, LOS ANGELES, CA 90024-6318
(323) 628-3158
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
86108369
CA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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