Provider Demographics
NPI:1497016133
Name:DRASIN, RANDI S (MS, RDN)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:S
Last Name:DRASIN
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 LOST HILLS RD UNIT 3205
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5353
Mailing Address - Country:US
Mailing Address - Phone:818-326-4266
Mailing Address - Fax:
Practice Address - Street 1:4240 LOST HILLS RD UNIT 3205
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91301-5353
Practice Address - Country:US
Practice Address - Phone:818-326-4266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1016070133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered