Provider Demographics
NPI:1134428568
Name:SOTTO, RHONDA (RD)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:SOTTO
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 1:4427 MURIETTA AVE
Mailing Address - Street 2:26
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3432
Mailing Address - Country:US
Mailing Address - Phone:818-849-6675
Mailing Address - Fax:
Practice Address - Street 1:4427 MURIETTA AVE
Practice Address - Street 2:26
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3432
Practice Address - Country:US
Practice Address - Phone:818-849-6675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN818686133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered