| Shape Your Grape | |
|
728 Cordova Ave, Glendale, CA 91206-2114 | |
| (818) 472-6616 | |
| Not Available |
| Full Name | Shape Your Grape |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 728 Cordova Ave, Glendale, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497344998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shape Your Grape 350 N Glendale Ave Ste B, Glendale, CA 91206-3323 Ph: (818) 658-1130 | Shape Your Grape 728 Cordova Ave, Glendale, CA 91206-2114 Ph: (818) 472-6616 |
Mrs. Mary-jeanne Der Avedissian, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 626 Myrtle St, Glendale, CA 91203 Phone: 818-240-4328 | |
Naira Gavurmadzhyan, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1316 Truitt St, Glendale, CA 91201 Phone: 818-321-6601 | |
Deborah Woody, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1545 Ard Eevin Ave, Glendale, CA 91202 Phone: 818-294-4371 | |
Katie Lebleu, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1207 N Howard St, Glendale, CA 91207 Phone: 818-395-3033 | |
Tallin Tounian, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1509 Wilson Ter, Glendale, CA 91206 Phone: 818-409-8000 | |
Nadia Bedrosian, M.S., RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 528 Alexander St, Glendale, CA 91203 Phone: 818-306-7054 | |
Shelby Joanna Becker, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3472 Roselawn Ave, Glendale, CA 91208 Phone: 818-723-2158 |