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NPI Code Detail

MEDICARE: DIETITIANSHAR CONSULTING SERVICES

MEDICARE: DIETITIANSHAR CONSULTING SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM2500XMedical Specialty Clinic/Center
2133V00000XRegistered Dietitian
3261QM1300XMulti-Specialty Clinic/Center
4261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1104518620
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIETITIANSHAR CONSULTING SERVICES
Provider Business Mailing Address
First Line : 453 S SPRING ST STE 400-1255
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2013
Country : US
Telephone Number : 213-433-6113
Fax Number :
Provider Business Practice Location Address
First Line : 453 S SPRING ST STE 400-1255
Second Line :
City : LOS ANGELES
State : CA
Zip : 90013-2013
Country : US
Telephone Number : 213-433-6113
Fax Number :
Authorized Official
Title or Position : DIETITIAN/OWNER
Name : SHARVETTE EDMONDS
Credential : M.S, RD
Telephone Number : 213-433-6113
Provider Enumeration Date : 05/23/2023
Last Update Date : 09/06/2025

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Directions to “DIETITIANSHAR CONSULTING SERVICES ” Practice Location

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