Provider Demographics
NPI:1841805421
Name:SARIAN, SARA ALAMDARI (MS, RDN)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:ALAMDARI
Last Name:SARIAN
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50214
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91614-5021
Mailing Address - Country:US
Mailing Address - Phone:949-436-9493
Mailing Address - Fax:
Practice Address - Street 1:509 MARIN ST STE 228
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4231
Practice Address - Country:US
Practice Address - Phone:805-267-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-10
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86152212133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA86152212OtherCOMMISSION ON DIETETICS REGISTRATION