NPI Registry.org

Sierra Mirvis

NPI Registration Record

Provider / OrganizationNPIDate Certified
SIERRA MIRVIS18710283732022-01-09

Sierra Mirvis is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871028373. Registration indicates Sierra Mirvis is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)

Entity TypeIndividual
Provider Name Sierra Mirvis RD
Practice Office Address3020 CHILDRENS WAY
SAN DIEGO, CA US
Practice Office Telephone6199550653
Mailing Address5535 GALA AVE
SAN DIEGO, CA 921201807 US
Offices / Locations
AddressCity / StatePhone / Fax
3350 La Jolla Village Dr San Diego, CA 921614223 8585528585
HPT Codes
CodePractice
License No
State
133V00000X PRIMARY
Dietary & Nutritional Service Providers
Dietitian, Registered
Dietitian, Registered

All Other Specialties & Provider Types

Dietitian, Registered
Dietary & Nutritional Service Providers
86045744
OPI Codes
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