Provider Demographics
NPI:1841486537
Name:SWEET SCIENCE NUTRITION
Entity type:Organization
Organization Name:SWEET SCIENCE NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:626-394-2442
Mailing Address - Street 1:940 E UNION ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1781
Mailing Address - Country:US
Mailing Address - Phone:626-394-2442
Mailing Address - Fax:626-408-6632
Practice Address - Street 1:940 E UNION ST STE 201
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1781
Practice Address - Country:US
Practice Address - Phone:626-394-2442
Practice Address - Fax:626-408-6632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19551Medicare PIN