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Organization

DOCRD L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL TODD GREENE ED.D., M.S., R.D.N. (OWNER CEO)
(213) 700-2661
Entity
Organization

Contact information

Practice address
1850 IVAR AVE, LOS ANGELES, CA 90028-5008
(213) 700-2661
Mailing address
PO BOX 1138, LOS ANGELES, CA 90078-1138
(213) 700-2661

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
251E00000X
Home Health Agency
251K00000X
Public Health or Welfare Agency
Primary
253Z00000X
In Home Supportive Care Agency
332U00000X
Home Delivered Meals
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01008567
COMMISSION ON DIETETIC REGISTRATION
01
1008567
ACADEMY OF NUTRITION AND DIETETICS
CA
Enumeration date
09/26/2018
Last updated
01/03/2021
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