Healthcare Provider Details
I. General information
NPI: 1649049222
Provider Name (Legal Business Name): EMILY ANNE ZITO MS, RDN, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/25/2023
Last Update Date: 12/25/2023
Certification Date: 12/24/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7313 WHITTIER AVE
WHITTIER CA
90602-1132
US
IV. Provider business mailing address
7313 WHITTIER AVE
WHITTIER CA
90602-1132
US
V. Phone/Fax
- Phone: 424-442-9129
- Fax: 310-943-3821
- Phone: 424-442-9129
- Fax: 310-943-3821
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133VN1004X |
| Taxonomy | Pediatric Nutrition Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: