Individual
MS. DIWATA MACALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
4650 W SUNSET BLVD # 8, LOS ANGELES, CA 90027-6062
(323) 361-5613
Mailing address
8850 CHIMINEAS AVE, NORTHRIDGE, CA 91325-3019
(408) 761-6046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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