Provider Demographics
NPI:1669846994
Name:WLMG, INC
Entity Type:Organization
Organization Name:WLMG, INC
Other - Org Name:WEIGHT LOSS MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:YOUNES
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSOUFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-498-9893
Mailing Address - Street 1:611 S CATALINA ST
Mailing Address - Street 2:STE 401
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90005-1703
Mailing Address - Country:US
Mailing Address - Phone:310-498-9893
Mailing Address - Fax:
Practice Address - Street 1:2323 16TH ST
Practice Address - Street 2:STE503
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3420
Practice Address - Country:US
Practice Address - Phone:310-498-9893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-24
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12033261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service