Mdietician Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A99205 Issued in CA

Legal business name

MDIETICIAN INC

Practice address

7100 Hayvenhurst Ave Ste 204
Van Nuys, CA 91406-3804

Phone

(213) 415-1990

Fax

(213) 415-1940

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. TSZ Ying Lee, MD

Title

Ceo

Phone

(213) 415-1990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley London

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1861898009
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1659672376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 HAYVENHURST AVE STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063804",
            "telephone_number": "213-415-1990",
            "fax_number": "213-415-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 HAYVENHURST AVE STE 204",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063804",
            "telephone_number": "213-415-1990",
            "fax_number": "213-415-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDIETICIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TSZ YING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-415-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A99205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda McMath
• John Juwan McPherson
• Karen Eileen McVeigh, M.D.
• MD 1St Choice Hospice, Inc.
• MD Home Health Care Services Inc
• MDPD Transportation Inc (Smooth Ride Services)
• Karla Meador, B.A.
• Darren Means
• Philip F Mechael, PA-C
• Diego Mechoso, M.D.

• Internal Medicine Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.