Doctor Name: | PATRICK PABLO |
NPI Number: | 1548623945 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.D. |
License Number: | 940986 |
Business Practice Address: | 9300 Campus Point Dr La Jolla, CA - 920371300 |
Business Phone Number: | 8586577078 |
Business Fax Number: | |
Mailing Address: | 9300 Campus Point Dr, LA JOLLA |
State: | CA |
Postal Code: | 920371300 |
Phone Number: | 8586577078 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2016 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 940986 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |