Doctor Name: | JENNIFER DALAN PANGAN |
NPI Number: | 1265872410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | 998676 |
Business Practice Address: | 9001 Wilshire Blvd Beverly Hills, CA - 902111838 |
Business Phone Number: | 3109130244 |
Business Fax Number: | |
Mailing Address: | 11300 Exposition Blvd Apt 415, LOS ANGELES |
State: | CA |
Postal Code: | 900645154 |
Phone Number: | 9099081021 |
Fax Number: | |
NPI Enumeration Date: | 07/02/2013 |
NPI Last Update Date: | 07/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 998676 |
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 |