| NPI | 1255084810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY DAWN MALSACK CEO 949-371-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |