Individual
MRS. FARNOUSH COHANIM GIDANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.
Contact information
Practice address
2755 PARK AVE, LAGUNA BEACH, CA 92651-2040
(949) 533-3557
(949) 497-3986
Mailing address
2755 PARK AVE, LAGUNA BEACH, CA 92651-2040
(949) 533-3557
(949) 497-3986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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