| Life Style Modification,inc. | |
|
2393 Townsgate Rd Ste 102 Westlake Village CA 91361-2513 | |
| (805) 409-3000 | |
| (805) 409-3001 |
| Full Name | Life Style Modification,inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2393 Townsgate Rd Ste 102, Westlake Village, California |
| Authorized Official Name and Position | Alina Attai (PRSEDENT) |
| Authorized Official Contact | 8054093000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Style Modification,inc. 2393 Townsgate Rd Ste 102 Westlake Village CA 91361-2513 Ph: (805) 409-3000 | Life Style Modification,inc. 2393 Townsgate Rd Ste 102 Westlake Village CA 91361-2513 Ph: (805) 409-3000 |
| NPI Number | 1376805101 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376805101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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