Provider Demographics
NPI:1689972275
Name:CASSENS, DIGNA I (MHA, RD)
Entity Type:Individual
Prefix:MRS
First Name:DIGNA
Middle Name:I
Last Name:CASSENS
Suffix:
Gender:F
Credentials:MHA, RD
Other - Prefix:
Other - First Name:DIGNA
Other - Middle Name:M
Other - Last Name:IRIZARRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2669 ARDSHEAL DR
Mailing Address - Street 2:
Mailing Address - City:LA HABRA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:90631-7711
Mailing Address - Country:US
Mailing Address - Phone:562-694-1327
Mailing Address - Fax:562-694-8664
Practice Address - Street 1:2669 ARDSHEAL DR
Practice Address - Street 2:
Practice Address - City:LA HABRA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:90631-7711
Practice Address - Country:US
Practice Address - Phone:562-694-1327
Practice Address - Fax:562-694-8664
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-05
Last Update Date:2011-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA127357133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered