Provider Demographics
NPI:1760569966
Name:BOND-MURCIA, SARAH (RD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:BOND-MURCIA
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 1:18141 BEACH BLVD
Mailing Address - Street 2:SUITE 385
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-5696
Mailing Address - Country:US
Mailing Address - Phone:714-478-2908
Mailing Address - Fax:714-375-7150
Practice Address - Street 1:18141 BEACH BLVD
Practice Address - Street 2:SUITE 385
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-5696
Practice Address - Country:US
Practice Address - Phone:714-478-2908
Practice Address - Fax:714-375-7150
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA717917133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered