Active NPI
Medical Nutrition Network LLC
- Registered Dietitian
- Tarzana, CA
National Provider Identifier
1114140464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- MEDICAL NUTRITION NETWORK LLC
- Practice address
- 18372 Clark St
Suite 228
Tarzana, CA 91356-3508 - Phone
- (818) 881-9192
- Fax
- (818) 881-0261
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lauren Beth Rogen, RD, CDE
- Title
- Partner
- Phone
- (818) 881-9192
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
18372 Clark St
Suite 228
Tarzana, CA 91356-3508
Mailing address
18372 Clark St
Suite 228
Tarzana, CA 91356-3508
Phone (818) 881-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18372 Clark St
Ste 228
Tarzana, CA 91356
Phone (818) 384-2886
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Metabolic Nutrition Registered Dietitian
- Tarzana, CA
- NPI 1184711806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245801600000",
"number": "1114140464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18372 CLARK ST",
"address_2": "SUITE 228",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563508",
"telephone_number": "818-881-9192",
"fax_number": "818-881-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18372 CLARK ST",
"address_2": "SUITE 228",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563508",
"telephone_number": "818-881-9192",
"fax_number": "818-881-0261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL NUTRITION NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2009-06-24",
"status": "A",
"authorized_official_last_name": "ROGEN",
"authorized_official_first_name": "LAUREN",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "818-881-9192",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RD, CDE"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.