| NPI | 1760140248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JACKSON Rdn 818-462-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2021-12-20 |