Individual
DIANA K SHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18546 ROSCOE BLVD, SUITE 230, NORTHRIDGE, CA 91324-4663
(818) 886-1100
(818) 886-7501
Mailing address
18546 ROSCOE BLVD, SUITE 230, NORTHRIDGE, CA 91324-4663
(818) 886-1100
(818) 886-7501
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
557560
CA
133V00000X
Registered Dietitian
557560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557560
STATE LICENSE
CA
Enumeration date
07/08/2006
Last updated
09/11/2025
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