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PREMIER WEIGHT LOSS MEDICAL CLINIC
NPI 1407115710
Dietary Manager in San Pedro, CA

Active since May 07, 2012
719 S AVERILL AVE, SAN PEDRO, CA 90732(310) 832-9080(310) 832-9027 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Weight Loss Medical Clinic NPPES

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

PREMIER WEIGHT LOSS MEDICAL CLINIC (NPI 1407115710) is a healthcare organization registered as a dietary manager in San Pedro, California and active in the NPI registry since May 2012. The organization lists Kristina Kutsina, Manager, as its authorized official.

NPPES Registry Identity

NPI1407115710
Entity TypeOrganization
Primary Taxonomy132700000X
Legal Business NamePREMIER WEIGHT LOSS MEDICAL CLINIC
Location Address719 S AVERILL AVESan Pedro, CA 90732-3813
Mailing Address719 S Averill AveSan Pedro, CA 90732-3813 · (310) 832-9080 · Fax (310) 832-9027
Phone(310) 832-9080
Fax(310) 832-9027
Organization SubpartNo
Authorized OfficialKristina KutsinaManager · (310) 832-9080
Enumeration DateMay 7, 2012
✔ NPI 1407115710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietary ManagerDietary & Nutritional Service Providers
Taxonomy Code132700000X
Definition
A dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification.
719 S AVERILL AVE, San Pedro, CA 90732
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JOSEPH DUNLAP D.C.
Chiropractor
719 S AVERILL AVE
SAN PEDRO, CA 90732
Los Angeles County (310) 200-1902

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 Premier Weight Loss Medical Clinic's NPI number?

The NPI number for Premier Weight Loss Medical Clinic is 1407115710. It was assigned to this organization in the NPPES registry on May 7, 2012.

Where is Premier Weight Loss Medical Clinic located?

Premier Weight Loss Medical Clinic is located at 719 S Averill Ave, San Pedro, CA 90732. The listed phone number is (310) 832-9080.

What is Premier Weight Loss Medical Clinic's specialty?

The primary specialty registered for this NPI is Dietary Manager with taxonomy code 132700000X.

When was this NPI record last updated?

The NPPES record for Premier Weight Loss Medical Clinic was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.