Organization
MEDICAL NUTRITION NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN BETH ROGEN RD, CDE (PARTNER)
(818) 881-9192
Entity
Organization
Contact information
Practice address
18372 CLARK ST, SUITE 228, TARZANA, CA 91356-3508
(818) 881-9192
(818) 881-0261
Mailing address
18372 CLARK ST, SUITE 228, TARZANA, CA 91356-3508
(818) 881-9192
(818) 881-0261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
06/24/2009
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