Individual
ANDREA BORTNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5971 VENICE BLVD, LOS ANGELES, CA 90034-1713
(310) 245-5797
Mailing address
359 VETERAN AVE, LOS ANGELES, CA 90024-1951
(310) 245-5797
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1060697
CA
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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