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POWERPLAY MD NPI 1205162013


NPI Information

NPI: 1205162013
Provider Name: POWERPLAY MD
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Organization

Specialization: Nutrition, Pediatric

Address:
5800 WILSHIRE BOULEVARD
LOS ANGELES, CA
ZIP 90036
Phone: (310) 289-8242
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POWERPLAY MD is a nutrition and pediatric dietitian registered in Los Angeles, CA. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. POWERPLAY MD NPI is 1205162013. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5800 WILSHIRE BOULEVARD
LOS ANGELES, CA
ZIP 90036
Phone: (310) 289-8242
Fax: (310) 289-8248

The provider's authorized official is Lydie Hazan .
The authorized official title is Ceo/president and has the following contact phone number (310) 289-8242.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 10/29/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1004XDietitian, RegisteredNutrition, PediatricA53116CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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