MEDICARE: MRS. GARINE RITA GARABEDIAN R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	1065213	CA

General Provider Information

NPI Number	:	1326399676
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GARINE RITA GARABEDIAN R.D.

Provider Business Mailing Address
First Line	:	11353 OVADA PL
Second Line	:	UNIT #2
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-2135
Country	:	US
Telephone Number	:	415-601-5707
Fax Number	:

Provider Business Practice Location Address
First Line	:	11353 OVADA PL
Second Line	:	UNIT #2
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-2135
Country	:	US
Telephone Number	:	415-601-5707
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2012
Last Update Date	:	09/26/2012

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