Doctor Name: | PAVEL KRYLOV |
NPI Number: | 1114323029 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | REGISTERED DIETITIAN |
License Number: | 86065943 |
Business Practice Address: | 2315 Stockton Blvd Sacramento, CA - 958172201 |
Business Phone Number: | 9167342011 |
Business Fax Number: | |
Mailing Address: | 1941 Noriega St Apt 5, SAN FRANCISCO |
State: | CA |
Postal Code: | 941224256 |
Phone Number: | 4156942735 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2014 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86065943 |
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 |