Doctor Name: | MR. DAVID ANDREW WISS |
NPI Number: | 1619353067 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S., R.D.N |
License Number: | 1089886 |
Business Practice Address: | 8549 Wilshire Blvd Suite 646 Beverly Hills, CA - 902113104 |
Business Phone Number: | 3104031874 |
Business Fax Number: | 3104707969 |
Mailing Address: | 2250 Parnell Ave, LOS ANGELES |
State: | CA |
Postal Code: | 900642005 |
Phone Number: | 3104031874 |
Fax Number: | 3104707969 |
NPI Enumeration Date: | 08/08/2015 |
NPI Last Update Date: | 08/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1089886 |
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 |