Most Relevant Information
Provider Data
| NPI Number: | 1003574781 |
| Provider Name: | DOROTHY BERNARD MS, RDN, IFNCP |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 00865470 |
Most Important Dates
| Enumeration Date: | 11/30/2021 |
| Last Updated: | 11/30/2021 |
Provider Practice Location
1041 PRINCETON ST
SANTA MONICA
CA
904034701
Practice Location Phone/Fax
| Phone: | 3108283000 |
| Fax: |
Provider Mailing Location
1041 PRINCETON ST
SANTA MONICA
CA
904034701
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |