Doctor Name: | SERENA TEDDY |
NPI Number: | 1043404379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C, MS, RD |
License Number: | 00969551 |
Business Practice Address: | 9918 Katella Ave Ste C Anaheim, CA - 928046466 |
Business Phone Number: | 7146258320 |
Business Fax Number: | |
Mailing Address: | 9918 Katella Ave Ste C, ANAHEIM |
State: | CA |
Postal Code: | 928046466 |
Phone Number: | 7146258320 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 03/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 00969551 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |