Individual
AFSANEH FAKOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16 EDGAR CT, NEWBURY PARK, CA 91320-4329
(805) 824-3230
(805) 824-3230
Mailing address
16 EDGAR CT, NEWBURY PARK, CA 91320-4329
(805) 824-3230
(805) 824-3230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86078853
CA
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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