Provider Demographics
NPI:1982903332
Name:GIANNELLA, ANNA DELFINA (R D - C D E)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:DELFINA
Last Name:GIANNELLA
Suffix:
Gender:F
Credentials:R D - C D E
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:FILE # 54433
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-4433
Mailing Address - Country:US
Mailing Address - Phone:619-784-5888
Mailing Address - Fax:
Practice Address - Street 1:9894 GENESEE AVE
Practice Address - Street 2:RM 134
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1235
Practice Address - Country:US
Practice Address - Phone:858-626-5626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered