Provider Demographics
NPI:1669241709
Name:ARNOLD, JASMINE MARISOL (RDN)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:MARISOL
Last Name:ARNOLD
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 1:2035 CAMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040-1501
Mailing Address - Country:US
Mailing Address - Phone:323-767-0250
Mailing Address - Fax:
Practice Address - Street 1:2035 CAMFIELD AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90040-1501
Practice Address - Country:US
Practice Address - Phone:888-499-9303
Practice Address - Fax:323-201-3212
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86096455133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic