Medical Nutrition Network LLC

NPI #1114140464 in Tarzana, California

Provider Information

NPI Number: 1114140464
Entity Type: Organization
Organization Name: Medical Nutrition Network LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Apr 11, 2007
Last Updated: Jun 24, 2009

Practice Location

Address: 18372 CLARK ST
Address 2: SUITE 228
City: Tarzana
State: California
ZIP Code: 91356-3508
Phone: (818) 881-9192

Authorized Official

Name: MS. LAUREN BETH ROGEN, RD, CDE
Title: PARTNER
Phone: (818) 881-9192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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