MEDICARE: NILOUFAR FARIVARMOHEB MS, RDN, CDCES

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	86023995	CA

General Provider Information

NPI Number	:	1467116327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NILOUFAR FARIVARMOHEB MS, RDN, CDCES

Provider Business Mailing Address
First Line	:	5000 ABBEYVILLE AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2703
Country	:	US
Telephone Number	:	818-802-1995
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 ABBEYVILLE AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91364-2703
Country	:	US
Telephone Number	:	818-802-1995
Fax Number	:

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

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	03/13/2026

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