Provider Demographics
NPI:1184278996
Name:NAVARRO, DAN ANTHONY (RD)
Entity type:Individual
Prefix:MR
First Name:DAN
Middle Name:ANTHONY
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 ABBOTT ST
Mailing Address - Street 2:STE 201
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4483
Mailing Address - Country:US
Mailing Address - Phone:831-269-7798
Mailing Address - Fax:831-269-7799
Practice Address - Street 1:355 ABBOTT ST STE 200
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4483
Practice Address - Country:US
Practice Address - Phone:831-422-3636
Practice Address - Fax:831-422-1255
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86102573133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered