Doctor Name: | MRS. PENNY LEW FEVERGEON |
NPI Number: | 1023291127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D. |
License Number: | 418881 |
Business Practice Address: | 1533 Via Fernandez Palos Verdes Estates, CA - 902741944 |
Business Phone Number: | 3103710813 |
Business Fax Number: | 3103716851 |
Mailing Address: | 1533 Via Fernandez, PALOS VERDES ESTATES |
State: | CA |
Postal Code: | 902741944 |
Phone Number: | 3103710813 |
Fax Number: | 3103716851 |
NPI Enumeration Date: | 12/11/2007 |
NPI Last Update Date: | 12/11/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 418881 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |