Healthcare Provider Details

I. General information

NPI: 1184802373
Provider Name (Legal Business Name): LINDA T. ARAKI R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDA T. BAXTER

II. Dates (important events)

Enumeration Date: 02/10/2008
Last Update Date: 02/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17100 EUCLID ST DIETARY DEPT - MORRISON MANAGEMENT
FOUNTAIN VALLEY CA
92708-4004
US

IV. Provider business mailing address

17100 EUCLID ST DIETARY DEPT - MORRISON MANAGEMENT
FOUNTAIN VALLEY CA
92708-4004
US

V. Phone/Fax

Practice location:
  • Phone: 714-966-7200
  • Fax: 714-513-5566
Mailing address:
  • Phone: 714-966-7200
  • Fax: 714-513-5566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number962855
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: