National Provider Identifier Database

METABOLIC MEDICINE FITNESS CENTER
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

METABOLIC MEDICINE & FITNESS CENTER
17542 17TH ST
SUITE 410
TUSTIN, CA92780-1959
Phone: 714-541-4343
Fax: 714-835-9550
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for METABOLIC MEDICINE & FITNESS CENTER

NPI Number 1356738769
Legal business name
LBN
METABOLIC MEDICINE & FITNESS CENTER
Authorized official ERIC PHAM - (MEDICA DOCTOR/ OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/23/2015
Last updated 06/20/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A78428B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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