Provider Demographics
NPI:1447795679
Name:GREENFIELD, SARAH (RD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:
Last Name:GREENFIELD
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 1:1413 EDGECLIFFE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-1505
Mailing Address - Country:US
Mailing Address - Phone:484-988-2436
Mailing Address - Fax:
Practice Address - Street 1:1413 EDGECLIFFE DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-1505
Practice Address - Country:US
Practice Address - Phone:484-988-2436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-26
Last Update Date:2016-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered