Diana K Shore in Northridge - Dietitian, Registered
Diana K Shore - NPI 1194758664
Diana K Shore is a Dietitian, Registered in Northridge, California. Diana K Shore practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Diana K Shore is 1194758664. The last update date is 2007-07-08.
Diana K Shore's current location address is 18546 Roscoe Blvd, Northridge, California. You can contact this provider via phone number 8188861100 and fax number 8188867501. The mailing address for Diana K Shore is 18546 Roscoe Blvd, Northridge, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana K Shore |
|---|---|
| Address | 18546 Roscoe Blvd, Northridge, California |
| Phone Number | 8188861100 |
| Fax Number | 8188867501 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1194758664 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 18546 Roscoe Blvd |
|---|---|
| City | Northridge |
| State | California (CA) |
| Post Code | 913244663 |
| Phone Number | 8188861100 |
| Fax Number | 8188867501 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 557560 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 557560 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Diana K Shore by the Centers for Medicare & Medicaid Services?
The Diana K Shore has been assigned the NPI (National Provider Identifier) 1194758664 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Diana K Shore?
The Diana K Shore is physically situated at 18546 Roscoe Blvd, in the city of Northridge, state of CA, with the postal code 913244663.
What is the area of specialization for Diana K Shore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Diana K Shore is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date did the Diana K Shore receive its 1194758664 assignment from the Centers for Medicare & Medicaid Services?
The Diana K Shore was assigned its 1194758664 by the Centers for Medicare & Medicaid Services on 2006-07-08.
As of what date were the details pertaining to Diana K Shore last refreshed?
The information related to the Diana K Shore, including its address, specialty, and other relevant details, was last updated on 2007-07-08.