Provider Demographics
NPI:1316704109
Name:HERBALIFE INTERNATIONAL OF AMERICA INC.
Entity type:Organization
Organization Name:HERBALIFE INTERNATIONAL OF AMERICA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF HEALTH AND NUTRITION OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BRODLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-347-2290
Mailing Address - Street 1:950 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-1001
Mailing Address - Country:US
Mailing Address - Phone:310-347-2290
Mailing Address - Fax:
Practice Address - Street 1:950 W 190TH ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1001
Practice Address - Country:US
Practice Address - Phone:310-347-2290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service