Provider Demographics
NPI:1881377109
Name:HATTAR, ZENA NADER (RD)
Entity type:Individual
Prefix:
First Name:ZENA
Middle Name:NADER
Last Name:HATTAR
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 1:9431 BRANDON CT
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-2300
Mailing Address - Country:US
Mailing Address - Phone:818-488-4007
Mailing Address - Fax:
Practice Address - Street 1:18531 ROSCOE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5456
Practice Address - Country:US
Practice Address - Phone:818-488-4007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86294497133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered