Healthcare Provider Details

I. General information

NPI: 1487399812
Provider Name (Legal Business Name): RACHEL STURZ FNTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2022
Last Update Date: 04/29/2022
Certification Date: 04/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6760 CAMINO DEL PRADO
CARLSBAD CA
92011-3311
US

IV. Provider business mailing address

9700 GILMAN DR # 120
LA JOLLA CA
92093-5010
US

V. Phone/Fax

Practice location:
  • Phone: 818-730-6895
  • Fax:
Mailing address:
  • Phone: 818-730-6895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: