| Doctor Name: | JERILYN DEE GERTZMAN |
| NPI Number: | 1679859474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., R.D., C.D.E. |
| License Number: | 800316 |
| Business Practice Address: | 7325 Medical Center Dr Suite 300 West Hills, CA - 913071925 |
| Business Phone Number: | 8187062567 |
| Business Fax Number: | 8187063549 |
| Mailing Address: | 6072 Lake Lindero Dr, AGOURA HILLS |
| State: | CA |
| Postal Code: | 913014638 |
| Phone Number: | 8187068618 |
| Fax Number: | 8187063549 |
| NPI Enumeration Date: | 10/25/2011 |
| NPI Last Update Date: | 11/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 800316 |
| 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 |