Provider Demographics
NPI:1518665652
Name:SARNO, MIA C
Entity Type:Individual
Prefix:
First Name:MIA
Middle Name:C
Last Name:SARNO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIA
Other - Middle Name:
Other - Last Name:LOYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7977 MERRINGTON PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2121
Mailing Address - Country:US
Mailing Address - Phone:619-762-1410
Mailing Address - Fax:
Practice Address - Street 1:7977 MERRINGTON PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-2121
Practice Address - Country:US
Practice Address - Phone:619-762-1410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist