Provider Demographics
NPI:1467119685
Name:MATZINGER, MARGARET (RD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MATZINGER
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 1:151 CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-6062
Mailing Address - Country:US
Mailing Address - Phone:408-598-0099
Mailing Address - Fax:
Practice Address - Street 1:151 CHARLES ST
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6062
Practice Address - Country:US
Practice Address - Phone:408-598-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-22
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86144750133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered