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Contact Information

COASTAL CITIES NUTRITION GROUP
2058 CHENAULT PL
SIMI VALLEY, CA93065-6241
 Phone: 805-404-8082
 Fax: 833-734-1472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for COASTAL CITIES NUTRITION GROUP · (Female)

NPI # 1376015016
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2018
Last updated 07/24/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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