Provider Demographics
NPI:1790441830
Name:GIROUX, ERIKA (RDN)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:GIROUX
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-3203
Mailing Address - Country:US
Mailing Address - Phone:805-444-3652
Mailing Address - Fax:
Practice Address - Street 1:2023 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3203
Practice Address - Country:US
Practice Address - Phone:805-444-3652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86119210133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered