Healthcare Provider Details

I. General information

NPI: 1730453069
Provider Name (Legal Business Name): GALA GABRIELA BYROFF MS., RD, CDM, CFFP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 12/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7810 VIA GENOVA
BURBANK CA
91504-1118
US

IV. Provider business mailing address

7810 VIA GENOVA
BURBANK CA
91504-1118
US

V. Phone/Fax

Practice location:
  • Phone: 562-681-5549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code132700000X
TaxonomyDietary Manager
License Number211245
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number918293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: