Doctor Name: | MRS. TAKAKO LEE |
NPI Number: | 1528142213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 863962 |
Business Practice Address: | 3330 Lomita Blvd Torrance, CA - 905055002 |
Business Phone Number: | 3103259110 |
Business Fax Number: | 3107844830 |
Mailing Address: | 1625 242nd Pl Unit E, HARBOR CITY |
State: | CA |
Postal Code: | 907101750 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 863962 |
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 |