Jardack, Patricia Miranda
Jardack, Patricia Miranda is an sole proprietor health care provider with primary practice located at 10833 Le Conte Ave 37-075 Chs, Los Angeles CA 90095-1697. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Jardack, Patricia Miranda can be contacted via phone (310) 825-5768.Contact Information
Primary practice address
10833 Le Conte Ave 37-075 Chs
Los Angeles CA 90095-1697
Phone: (310) 825-5768
Fax: (310) 267-1054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 872564 | California |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 872564 | California |
Profile Details
NPI number | 1215406269 |
---|---|
LBN Legal business name | Jardack, Patricia Miranda |
Credentials | RDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 20th, 2018 |
Last updated | Nov 20th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215406269 | NPPES |
Other | 872564 | RDN REGISTRATION |
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