| Doctor Name: | BRENDA M RUCKSTUHL |
| NPI Number: | 1255465936 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., CDE |
| License Number: | 801383 |
| Business Practice Address: | 2660 Townsgate Rd Ste 780 Westlake Village, CA - 913612714 |
| Business Phone Number: | 8059059238 |
| Business Fax Number: | 8054938217 |
| Mailing Address: | 448 Syringa St, THOUSAND OAKS |
| State: | CA |
| Postal Code: | 913601637 |
| Phone Number: | 8054931479 |
| Fax Number: | 8054938217 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 801383 |
| 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 |