Individual
LARA NAWAF AL-DANDACHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 530, LOS ANGELES, CA 90095-4982
(310) 825-7922
(310) 267-1899
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
21520284
CA
133V00000X
Registered Dietitian
Primary
945298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
945298
AM. DIETERIC ASSOCIATION
CA
Enumeration date
03/09/2007
Last updated
01/06/2020
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