Goudarzi, Vida

Goudarzi, Vida is an individual health care provider with primary practice located at 76 Oak Grove Ave , Los Gatos CA 95030-7049. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Goudarzi, Vida can be contacted via phone (408) 205-8887.

Contact Information

Primary practice address
76 Oak Grove Ave Los Gatos CA 95030-7049
Phone: (408) 205-8887
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 957130 California

Profile Details

NPI number 1295860716
LBN Legal business name Goudarzi, Vida
Credentials RD REGISTERED DIETIT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Nov 15th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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