Provider Demographics
NPI:1003458381
Name:RACHMAN, ANNA (RD)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:RACHMAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 LINNINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2338
Mailing Address - Country:US
Mailing Address - Phone:310-770-2855
Mailing Address - Fax:
Practice Address - Street 1:7601 CANBY AVE STE 7
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-2974
Practice Address - Country:US
Practice Address - Phone:818-757-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
849965133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered