Doctor Name: | MRS. KATIE O'MARA |
NPI Number: | 1972959229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CLE |
License Number: | 1034742 |
Business Practice Address: | 34462 Calle Carmelita Capistrano Beach, CA - 926241022 |
Business Phone Number: | 9169559429 |
Business Fax Number: | |
Mailing Address: | 34462 Calle Carmelita, CAPISTRANO BEACH |
State: | CA |
Postal Code: | 926241022 |
Phone Number: | 9169559429 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2016 |
NPI Last Update Date: | 05/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1034742 |
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 |