| NPI | 1023706173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNAINA DEEPAK CEO 925-325-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-04-12 |