Organization · NPI-2

360 Medical Weight Specialists

Internal Medicine, Bariatric Medicine · Walnut Creek, CA

NPI number1194172510
StatusActive
Last updated in NPPESMay 16, 2016

Details

NPI
1194172510
Entity type
Organization (NPI-2)
Legal business name
360 Medical Weight Specialists
Organization subpart
No
Enumeration date
May 16, 2016
Last updated
May 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RB0002X Internal Medicine, Bariatric Medicine––Yes

Practice location

2255 Ygnacio Valley Rd
Suite G
Walnut Creek, CA 94598-3343

Phone 925-944-5678

Mailing address

2255 Ygnacio Valley Rd
Suite G
Walnut Creek, CA 94598-3343

Phone 925-944-5678

Authorized official

Anne Elizabeth Gartner
President
9259445678

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