| NPI | 1609269760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO ROSAS-ALVAREZ Manager 818-631-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: LA 2595) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |