Provider Demographics
NPI:1467820753
Name:BARONIAN, ALENE
Entity Type:Individual
Prefix:
First Name:ALENE
Middle Name:
Last Name:BARONIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4546 EL CAMINO REAL STE 254
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1068
Mailing Address - Country:US
Mailing Address - Phone:650-941-2100
Mailing Address - Fax:
Practice Address - Street 1:4546 EL CAMINO REAL STE 254
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94022-1068
Practice Address - Country:US
Practice Address - Phone:650-941-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered