Torrey Mitsunaga, MS, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86265208 Issued in CA

Practice address

10930 Wagner St
Culver City, CA 90230-4238

Phone

(818) 359-8470

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1487370672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10930 WAGNER ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304238",
            "telephone_number": "818-359-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10930 WAGNER ST",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304238",
            "telephone_number": "818-359-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUNAGA",
        "first_name": "TORREY",
        "credential": "MS, RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "CA",
            "license": "86265208",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86265208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn A Miskevics, LMFT
• Mission City Community Network, Inc.
• Courtney Yvette Mitchell
• Maleek Andre Mitchell
• Mitsuaki David Kato, O.D., Inc.
• Dillon Miyasaki
• Diana Mladinich
• Mina Moayedi, D.D.S.
• Sahar Moeini, DMD
• Rick Mogil

• Registered Dietitian in Culver City, CA
• Providers in Culver City, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.