Organization Active NPI

Life Style Modification,Inc.

  • Primary Care Clinic/Center
  • Westlake Village, CA
National Provider Identifier
1376805101
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LIFE STYLE MODIFICATION,INC.
Practice address
2393 Townsgate Rd Ste 102
Westlake Village, CA 91361-2513
Phone
(805) 409-3000
Fax
(805) 409-3001
NPI assigned
Jun 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Alina Attai, PA-C
Title
Prsedent
Phone
(805) 409-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2393 Townsgate Rd Ste 102
Westlake Village, CA 91361-2513

Mailing address

2393 Townsgate Rd Ste 102
Westlake Village, CA 91361-2513
Phone (805) 409-3000

National Provider Directory

National Provider Directory

Locations

2393 Townsgate Rd
Ste 102
Westlake Village, CA 91361
Phone (805) 379-1644

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1376805101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2393 TOWNSGATE RD STE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612513",
            "telephone_number": "805-409-3000",
            "fax_number": "805-409-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2393 TOWNSGATE RD STE 102",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612513",
            "telephone_number": "805-409-3000",
            "fax_number": "805-409-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STYLE MODIFICATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "ATTAI",
        "authorized_official_first_name": "ALINA",
        "authorized_official_title_or_position": "PRSEDENT",
        "authorized_official_telephone_number": "805-409-3000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.