Edith Mary Clark in Pasadena - Dietitian, Registered
Edith Mary Clark - NPI 1376632679
Edith Mary Clark is a Dietitian, Registered in Pasadena, California. Edith Mary Clark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Edith Mary Clark is 1376632679. The last update date is 2007-07-09.
Edith Mary Clark's current location address is Po Box 31001-0698, Pasadena, California. You can contact this provider via phone number 6022631511 and fax number 6022631619. The mailing address for Edith Mary Clark is Po Box 31001-0698, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edith Mary Clark |
|---|---|
| Address | Po Box 31001-0698, Pasadena, California |
| Phone Number | 6022631511 |
| Fax Number | 6022631619 |
| Sole Proprietor | N |
| Credentials | MBA, RD, C |
NPI Number Detail
| NPI Number | 1376632679 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 31001-0698 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911100698 |
| Phone Number | 6022631511 |
| Fax Number | 6022631619 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 390874 |
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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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Post Comment/ Review Below
What is the Edith Mary Clark's 1376632679?
The Edith Mary Clark's NPI (National Provider Identifier) Number is 1376632679. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Edith Mary Clark's facilities are geographically located?
The facilities of Edith Mary Clark are physically situated at the following location: Po Box 31001-0698, Pasadena, CA, 911100698.
What is Edith Mary Clark's area of expertise and its corresponding taxonomy classification?
The Edith Mary Clark's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Edith Mary Clark receive its 1376632679 assignment from the Centers for Medicare & Medicaid Services?
The Edith Mary Clark was assigned its 1376632679 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Edith Mary Clark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edith Mary Clark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.