| NPI | 1306157714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL OLIVER Administrator 951-824-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CA 860369) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2010-06-30 |