Provider Demographics
NPI:1689453862
Name:CARDENAS, ERIKA (RD)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:CARDENAS
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 1:12751 WEIDNER ST
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-1138
Mailing Address - Country:US
Mailing Address - Phone:818-447-8342
Mailing Address - Fax:
Practice Address - Street 1:12751 WEIDNER ST
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-1138
Practice Address - Country:US
Practice Address - Phone:818-447-8342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered