| Medical Nutrition Network Llc | |
|
18372 Clark St, Suite 228, Tarzana, CA 91356-3508 | |
| (818) 881-9192 | |
| (818) 881-0261 |
| Full Name | Medical Nutrition Network Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 18372 Clark St, Tarzana, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114140464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Alicia Marie Calvo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184711806 PECOS PAC ID: 7214083427 Enrollment ID: I20091029000454 |
| Provider Name | Ellen Bauersfeld |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881763472 PECOS PAC ID: 7012063233 Enrollment ID: I20091104000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Nutrition Network Llc 18372 Clark St, Suite 228, Tarzana, CA 91356-3508 Ph: (818) 881-9192 | Medical Nutrition Network Llc 18372 Clark St, Suite 228, Tarzana, CA 91356-3508 Ph: (818) 881-9192 |
Jamie M Leff, MSRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18370 Burbank Blvd, Suite 407, Tarzana, CA 91356 Phone: 818-996-4242 | |
Taryn Schubert Mcpherson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 6201 Canby Ave, Tarzana, CA 91335 Phone: 818-850-1561 | |
Miss Dina Ben-nissan, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18372 Clark St Ste 228, Tarzana, CA 91356 Phone: 818-384-2886 | |
Sharon Sperling, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18425 Burbank Blvd, Ste 102, Tarzana, CA 91356 Phone: 818-342-2696 | |
Mrs. Alicia Marie Calvo, MPH, RD, CDE Dietitian Medicare: May Accept Medicare Assignments Practice Location: 18372 Clark St Ste 228, Tarzana, CA 91356 Phone: 818-881-9192 Fax: 818-881-0261 | |
Katie Calderone Fitness & Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18663 Ventura Blvd Ste 202, Tarzana, CA 91356 Phone: 818-600-1005 Fax: 855-570-0747 |