Healthcare Provider Details

I. General information

NPI: 1336058254
Provider Name (Legal Business Name): RIWA GHALAYINI RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2332 GALIANO ST
CORAL GABLES FL
33134-5402
US

IV. Provider business mailing address

1032 GONA CT
DIAMOND BAR CA
91789-4803
US

V. Phone/Fax

Practice location:
  • Phone: 714-470-2437
  • Fax:
Mailing address:
  • Phone: 332-286-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86084753
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: