Provider Demographics
NPI:1184802373
Name:ARAKI, LINDA T (RD)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:T
Last Name:ARAKI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:T
Other - Last Name:BAXTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:17100 EUCLID ST
Mailing Address - Street 2:DIETARY DEPT - MORRISON MANAGEMENT
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4004
Mailing Address - Country:US
Mailing Address - Phone:714-966-7200
Mailing Address - Fax:714-513-5566
Practice Address - Street 1:17100 EUCLID ST
Practice Address - Street 2:DIETARY DEPT - MORRISON MANAGEMENT
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4004
Practice Address - Country:US
Practice Address - Phone:714-966-7200
Practice Address - Fax:714-513-5566
Is Sole Proprietor?:No
Enumeration Date:2008-02-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA962855133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered