Provider Demographics
NPI:1558972497
Name:D'ORAZIO, ALESSANDRA FIORI (RD)
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:FIORI
Last Name:D'ORAZIO
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 1:16725 YUKON AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1339
Mailing Address - Country:US
Mailing Address - Phone:619-709-8621
Mailing Address - Fax:
Practice Address - Street 1:16725 YUKON AVE APT 5
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1339
Practice Address - Country:US
Practice Address - Phone:619-709-8621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86031736133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered