Provider Demographics
NPI:1710650478
Name:OROPEZA, SARAH (MPH, RDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:OROPEZA
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 LA JUNTA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-3542
Mailing Address - Country:US
Mailing Address - Phone:760-685-6009
Mailing Address - Fax:
Practice Address - Street 1:3353 LA JUNTA AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-3542
Practice Address - Country:US
Practice Address - Phone:760-685-6009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1609133V00000X
CA86048769133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered