Provider Demographics
NPI:1982081394
Name:SAHAR S BERJIS RD MPH APC
Entity Type:Organization
Organization Name:SAHAR S BERJIS RD MPH APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAHAR
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERJIS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:925-566-4429
Mailing Address - Street 1:309 LENNON LN
Mailing Address - Street 2:SUTIE 101
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2491
Mailing Address - Country:US
Mailing Address - Phone:925-566-4429
Mailing Address - Fax:925-979-9104
Practice Address - Street 1:309 LENNON LN
Practice Address - Street 2:SUTIE 101
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2491
Practice Address - Country:US
Practice Address - Phone:925-566-4429
Practice Address - Fax:925-979-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty