Doctor Name: | MRS. ASTRID T. FERENCY |
NPI Number: | 1043432024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.R.D. |
License Number: | |
Business Practice Address: | 17815 Ventura Blvd Ste 100 Encino, CA - 913163600 |
Business Phone Number: | 8187574520 |
Business Fax Number: | 8187571043 |
Mailing Address: | 1561 Hill Dr, LOS ANGELES |
State: | CA |
Postal Code: | 900411437 |
Phone Number: | 3234789553 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1005X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Renal |
Taxonomy Definition: |