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Contact Information

BUSHIDO BARIATRIC CENTER
402 N WEST ST
FALLS CHURCH, VA22046-2543
 Phone: 907-350-5571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for BUSHIDO BARIATRIC CENTER

NPI Number 1932784998
LBN Legal business name BUSHIDO BARIATRIC CENTER
Authorized official LISSA SAKATA - (SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2021
Last updated 03/11/2021 - About 5 years ago
Identifiers
Other 1790070605 NPPES
PA Other 1902193410 NPPES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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