Provider Demographics
NPI:1891326534
Name:PEREZ ARELLANO, ALEJANDRA (RDN)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:PEREZ ARELLANO
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 1:1985 YOSEMITE AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-5200
Mailing Address - Country:US
Mailing Address - Phone:805-870-5588
Mailing Address - Fax:805-512-8522
Practice Address - Street 1:1985 YOSEMITE AVE STE 230
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-5200
Practice Address - Country:US
Practice Address - Phone:805-870-5588
Practice Address - Fax:805-512-8522
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86102738133V00000X
133VN1004X, 133VN1005X, 133VN1201X, 133VN1301X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, PediatricGroup - Multi-Specialty
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Multi-Specialty
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, OncologyGroup - Multi-Specialty