MEDICARE: MEDARTS WEIGHT LOSS SPECIALIST INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center	C41764	CA

General Provider Information

NPI Number	:	1790140077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDARTS WEIGHT LOSS SPECIALIST INC

Provider Business Mailing Address
First Line	:	450 A ST
Second Line	:	SUITE 400
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-4274
Country	:	US
Telephone Number	:	619-866-3333
Fax Number	:	619-358-9268

Provider Business Practice Location Address
First Line	:	450 A ST
Second Line	:	SUITE 400
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-4274
Country	:	US
Telephone Number	:	619-866-3333
Fax Number	:	619-358-9268

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. ARTHUR ARONSON
Credential	:	M.D.
Telephone Number	:	619-866-3333

Provider Enumeration Date	:	12/30/2015
Last Update Date	:	12/30/2015

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