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Premier Weight Loss Medical Clinic

Dietary Manager in San Pedro, CA · enumerated 2012 · authorized official Kristina Kutsina, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407115710

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Registry record

Entity type Organization (Type 2)
Legal business name Premier Weight Loss Medical Clinic
Practice address 719 S Averill Ave, San Pedro, CA, 90732
Phone (310) 832-9080
Fax (310) 832-9027
Enumeration date May 7, 2012
Last updated in NPPES May 7, 2012

Taxonomy & classification

132700000X Dietary Manager Dietary & Nutritional Service Providers Primary

Authorized official

Name Kristina Kutsina
Title Manager
Phone (310) 832-9080

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Premier Weight Loss Medical Clinic located?
The practice location on file with NPPES is in San Pedro, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-07. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-07.