Provider Demographics
NPI:1083363055
Name:NUTRINAZ INC
Entity Type:Organization
Organization Name:NUTRINAZ INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:NAZANIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BLITSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:818-687-1725
Mailing Address - Street 1:8337 N PEYTON WAY
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-3880
Mailing Address - Country:US
Mailing Address - Phone:818-687-1725
Mailing Address - Fax:
Practice Address - Street 1:8337 N PEYTON WAY
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-3880
Practice Address - Country:US
Practice Address - Phone:818-687-1725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty