Organization
WHOLE HEALTH WEIGHT LOSS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA SUMMERS (PRACTICE ADMINISTRATOR)
(866) 441-0570
Entity
Organization
Contact information
Practice address
1300 MAIN ST STE 200, NAPA, CA 94559-1946
(866) 441-8290
Mailing address
PO BOX 1897, SONOMA, CA 95476-1897
(668) 441-0570
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
CA
Enumeration date
07/12/2017
Last updated
11/21/2024
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