Provider Demographics
NPI:1619384062
Name:OCHOA, TRISHA ANN (CHN)
Entity Type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:ANN
Last Name:OCHOA
Suffix:
Gender:F
Credentials:CHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 ARIZONA AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1415
Mailing Address - Country:US
Mailing Address - Phone:310-428-9098
Mailing Address - Fax:310-828-6702
Practice Address - Street 1:2620 ARIZONA AVE APT 1
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1415
Practice Address - Country:US
Practice Address - Phone:310-428-9098
Practice Address - Fax:310-828-6702
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist