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Contact Information

POWERPLAY MD
5800 WILSHIRE BOULEVARD
LOS ANGELES, CA90036
 Phone: 310-289-8242
 Fax: 310-289-8248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for POWERPLAY MD

NPI # 1205162013
LBN Legal business name POWERPLAY MD
Authorized official LYDIE HAZAN - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/29/2009
Last updated 10/29/2009 - About 17 years ago
Identifiers
CA License # A53116
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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