MEDICARE: MS. GLENDA DARDASHTI MS, RDN

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	86059890	CA

General Provider Information

NPI Number	:	1326757220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GLENDA DARDASHTI MS, RDN

Provider Business Mailing Address
First Line	:	19128 SALT LAKE PL
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-2343
Country	:	US
Telephone Number	:	213-272-7073
Fax Number	:

Provider Business Practice Location Address
First Line	:	19128 SALT LAKE PL
Second Line	:
City	:	PORTER RANCH
State	:	CA
Zip	:	91326-2343
Country	:	US
Telephone Number	:	213-272-7073
Fax Number	:

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

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	10/15/2025

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