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METABOLIC MEDICINE & FITNESS CENTER
NPI 1356738769
Preferred Provider Organization in Tustin, CA

Active since April 23, 2015
17542 17TH ST, SUITE 410, TUSTIN, CA 92780(714) 541-4343(714) 835-9550 Get Directions Write a Review

NPPES record last updated: June 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Metabolic Medicine & Fitness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

METABOLIC MEDICINE & FITNESS CENTER (NPI 1356738769) is a healthcare organization registered as a preferred provider organization in Tustin, California and active in the NPI registry since April 2015. The organization lists Eric H. Pham, Medica Doctor/ Owner, as its authorized official.

NPPES Registry Identity

NPI1356738769
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMETABOLIC MEDICINE & FITNESS CENTER
Location Address17542 17TH ST, SUITE 410Tustin, CA 92780-1959
Mailing Address17542 17th St, Suite 410Tustin, CA 92780-1959 · (714) 541-4343 · Fax (714) 835-9550
Phone(714) 541-4343
Fax(714) 835-9550
Organization SubpartNo
Authorized OfficialEric H. PhamMedica Doctor/ Owner · (714) 541-4343
Enumeration DateApril 23, 2015
Last NPPES UpdateJune 20, 2018
✔ NPI 1356738769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in CA · A78428B
Definition
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.
17542 17TH ST, Tustin, CA 92780
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANGELICA VICTORIA BON LCSW
Counselor (Mental Health)
17542 17TH ST
TUSTIN, CA 92780
Orange County (714) 734-4500
HALEY LOUNSBURY
Speech-Language Pathologist
17542 17TH ST
TUSTIN, CA 92780
Orange County (714) 734-4500
JOHN ALEXANDER
Case Manager/Care Coordinator
17542 17TH ST
TUSTIN, CA 92780
Orange County (949) 214-9822
AMISH KISHOR SHAH D.O., M.P,H,
Internal Medicine (Geriatric Medicine)
17542 17TH ST, SUITE 320
TUSTIN, CA 92780
Orange County (714) 734-5500
DR. QUYEN DAO M.D.
Internal Medicine (Obesity Medicine)
17542 17TH ST, SUITE 410
TUSTIN, CA 92780
Orange County (714) 835-9550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Metabolic Medicine & Fitness Center's NPI number?

The NPI number for Metabolic Medicine & Fitness Center is 1356738769. It was assigned to this organization in the NPPES registry on April 23, 2015.

Where is Metabolic Medicine & Fitness Center located?

Metabolic Medicine & Fitness Center is located at 17542 17th St Suite 410, Tustin, CA 92780. The listed phone number is (714) 541-4343.

What is Metabolic Medicine & Fitness Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Metabolic Medicine & Fitness Center was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.