Provider Demographics
NPI:1821826488
Name:FEINERMAN, SHAYNA RACHEL (RDN)
Entity type:Individual
Prefix:MS
First Name:SHAYNA
Middle Name:RACHEL
Last Name:FEINERMAN
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 1:1974 SAN REMO DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2626
Mailing Address - Country:US
Mailing Address - Phone:949-981-1663
Mailing Address - Fax:
Practice Address - Street 1:1974 SAN REMO DR
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2626
Practice Address - Country:US
Practice Address - Phone:949-981-1663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86341913133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered