Provider Demographics
NPI:1982703559
Name:SWIFT, JULIE ROSE (MPH, RDN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ROSE
Last Name:SWIFT
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ROSE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPH, RDN
Mailing Address - Street 1:1 LMU DR # MS 8888
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2650
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 LMU DR # MS 8888
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-2650
Practice Address - Country:US
Practice Address - Phone:424-781-7695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered