Provider Demographics
NPI:1942050778
Name:CARTER, NAJAH NIMAT (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:NAJAH
Middle Name:NIMAT
Last Name:CARTER
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 VICTOR AVE APT 306
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-3522
Mailing Address - Country:US
Mailing Address - Phone:424-227-0076
Mailing Address - Fax:
Practice Address - Street 1:855 VICTOR AVE APT 306
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-3522
Practice Address - Country:US
Practice Address - Phone:424-227-0076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86132044133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty