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NPI Code Detail

MEDICARE: MWE CORPORATION

MEDICARE: MWE CORPORATION
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
1207Q00000XFamily Medicine Physician
2133VN1006XMetabolic Nutrition Registered Dietitian
3132700000XDietary Manager
4261QC1800XCorporate Health Clinic/Center

General Provider Information

NPI Number : 1073855011
Entity Type Code : Organization
Provider Name (Legal Business Name) : MWE CORPORATION
Provider Business Mailing Address
First Line : 409 N PACIFIC COAST HWY
Second Line : #448
City : REDONDO BEACH
State : CA
Zip : 90277-2870
Country : US
Telephone Number : 310-652-0085
Fax Number : 866-390-0007
Provider Business Practice Location Address
First Line : 8500 WILSHIRE BLVD
Second Line : PENTHOUSE
City : BEVERLY HILLS
State : CA
Zip : 90211-3121
Country : US
Telephone Number : 310-652-0085
Fax Number : 866-390-0007
Authorized Official
Title or Position : PRESIDENT
Name : MAURY-YING KHON
Credential :
Telephone Number : 424-234-1519
Provider Enumeration Date : 03/16/2013
Last Update Date : 03/21/2013

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Directions to “MWE CORPORATION ” Practice Location

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