Doctor Name: | CARRIE PICKINPAUGH |
NPI Number: | 1205223880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 86065001 |
Business Practice Address: | 3820 Martin Luther King Jr Blvd Lynwood, CA - 902623625 |
Business Phone Number: | 3106320415 |
Business Fax Number: | |
Mailing Address: | 3820 Martin Luther King Jr Blvd, LYNWOOD |
State: | CA |
Postal Code: | 902623625 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/21/2015 |
NPI Last Update Date: | 04/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86065001 |
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 |