Provider Demographics
NPI:1780853986
Name:MERE, MILAGROS SHIRLEY (RD)
Entity Type:Individual
Prefix:
First Name:MILAGROS
Middle Name:SHIRLEY
Last Name:MERE
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 1:10800 PARAMOUNT BLVD STE 406
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-3334
Mailing Address - Country:US
Mailing Address - Phone:562-869-4497
Mailing Address - Fax:
Practice Address - Street 1:10800 PARAMOUNT BLVD STE 406
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3334
Practice Address - Country:US
Practice Address - Phone:562-869-4497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA949015133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered