Doctor Name: | JAMIE YACOUB |
NPI Number: | 1487911145 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.P.H., R.D. |
License Number: | 1022607 |
Business Practice Address: | 10000 Lakewood Blvd Downey, CA - 902404020 |
Business Phone Number: | 5628623684 |
Business Fax Number: | 5628627145 |
Mailing Address: | 10000 Lakewood Blvd, DOWNEY |
State: | CA |
Postal Code: | 902404020 |
Phone Number: | 5628623684 |
Fax Number: | 5628627145 |
NPI Enumeration Date: | 04/19/2012 |
NPI Last Update Date: | 04/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1022607 |
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 |