Organization · Type 2 NPI

Integrated Wellness & Weightloss Center LLC

General Practice Physician · Fairfax, VA

NPI number 1417879974 Active

Practice location

9629 Fairfax Blvd Ste 211
Fairfax, VA 22031-2321

Call (571) 435-0186 Map

Mailing address

26081 Wendell St
Chantilly, VA 20152-3403

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1417879974

Integrated Wellness & Weightloss Center LLC's National Provider Identifier is 1417879974, issued on Jul 28, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fairfax, VA. The record was last updated on Jul 28, 2026.