Individual
KATHERINE ANNE GRUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5701 S HOOVER ST, LOS ANGELES, CA 90037-4045
(323) 541-1600
Mailing address
5701 S HOOVER ST, LOS ANGELES, CA 90037-4045
(323) 541-1600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
861538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
861538
LICENSE
CA
Enumeration date
05/14/2007
Last updated
02/14/2008
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