Individual
LAYLA SADEGHIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NUTRITIONIST
Contact information
Practice address
320 SUPERIOR AVE, SUITE 320, NEWPORT BEACH, CA 92663
(949) 645-8475
Mailing address
320 SUPERIOR AVE, SUITE 320, NEWPORT BEACH, CA 92663
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
08S545517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08S545517
AANC
CA
Enumeration date
09/06/2013
Last updated
09/22/2014
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