Healthcare Provider Details

I. General information

NPI: 1407795859
Provider Name (Legal Business Name): ADRIANNA ELIZABETH WEINGOLD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 BUFFALO AVE
SHERMAN OAKS CA
91401-5932
US

IV. Provider business mailing address

5333 BUFFALO AVE
SHERMAN OAKS CA
91401-5932
US

V. Phone/Fax

Practice location:
  • Phone: 818-903-6419
  • Fax: 818-688-4494
Mailing address:
  • Phone: 818-903-6419
  • Fax: 818-688-4494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: