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NPI Code Detail

MEDICARE: TARITA PATTERSON RDN

MEDICARE:   TARITA  PATTERSON  RDN
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
1133V00000XRegistered Dietitian1078566CA

General Provider Information

NPI Number : 1861323404
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARITA PATTERSON RDN
Provider Business Mailing Address
First Line : 1434 W 80TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-2833
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1434 W 80TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-2833
Country : US
Telephone Number : 818-281-2946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ TARITA PATTERSON RDN” Practice Location

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