# NUTRITION COACH RD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588397400
- **Authorized official:** STEPHANIE GARCIA RD (REGISTERED DIETITIAN)
- **Authorized official phone:** (818) 732-9995

## Contact information

- **Practice address:** 1890 S COCHRAN AVE APT 18, LOS ANGELES, CA 90019-5206
- **Practice address phone:** (818) 732-9995
- **Mailing address:** 4960 W WASHINGTON BLVD UNIT 78821, LOS ANGELES, CA 90016-6333
- **Mailing address phone:** (818) 732-9995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2022
- **Last updated:** 07/07/2022
