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Contact Information

ELISE BORETZ, RD
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA90262-3625
 Phone: 310-632-0415
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ELISE BORETZ · (Female)

NPI Number 1457977530
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 06/24/2020
Last updated 06/24/2020 - About 6 years ago
Sole proprietor 1 No
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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