Organization
COASTAL CITIES NUTRITION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON L SIMPSON RDN (PARTNER)
(805) 443-9389
Entity
Organization
Contact information
Practice address
2058 CHENAULT PL, SIMI VALLEY, CA 93065-6241
(805) 404-8082
(833) 734-1472
Mailing address
2390 LAS POSAS RD STE 471C, CAMARILLO, CA 93010-3479
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
12/19/2018
Last updated
07/24/2021
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