Healthcare Provider Details

I. General information

NPI: 1316704109
Provider Name (Legal Business Name): HERBALIFE INTERNATIONAL OF AMERICA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2024
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 W 190TH ST
TORRANCE CA
90502-1001
US

IV. Provider business mailing address

950 W 190TH ST
TORRANCE CA
90502-1001
US

V. Phone/Fax

Practice location:
  • Phone: 310-347-2290
  • Fax:
Mailing address:
  • Phone: 310-347-2290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: DR. KENT L BRODLEY
Title or Position: CHIEF HEALTH AND NUTRITION OFFICER
Credential: MD
Phone: 310-347-2290