Provider Demographics
NPI:1770928079
Name:AKOYEVA, SVETLANA VIKTOROVNA (RD)
Entity type:Individual
Prefix:
First Name:SVETLANA
Middle Name:VIKTOROVNA
Last Name:AKOYEVA
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 1:9510 VAN NUYS BLVD
Mailing Address - Street 2:APT 209
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30941 AGOURA RD
Practice Address - Street 2:SUITE 212
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4617
Practice Address - Country:US
Practice Address - Phone:785-317-6542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered