Organization
AVICENNA DIETETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAGHAR SEFIDBAKHT (REGISTERED DIETITIAN)
(949) 259-0787
Entity
Organization
Contact information
Practice address
26730 TOWNE CENTRE DR, FOOTHILL RANCH, CA 92610-2842
(800) 954-8000
Mailing address
26730 TOWNE CENTRE DR, FOOTHILL RANCH, CA 92610-2842
(949) 259-0787
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
06/28/2019
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