Individual
AMY GERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSD
Contact information
Practice address
125 S SIERRA MADRE BLVD, #307, PASADENA, CA 91107-4101
(323) 361-3779
Mailing address
125 S SIERRA MADRE BLVD, #307, PASADENA, CA 91107-4101
(323) 361-3779
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMS200106
CMS NUMBER (CHILDRENS MEDICAL SERVICES)
—
Enumeration date
01/02/2009
Last updated
01/02/2009
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