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
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
License No
133V00000X PRIMARY
Dietary & Nutritional Service Providers
Dietitian, Registered
Dietitian, Registered

All Other Specialties & Provider Types

Dietitian, Registered
Dietary & Nutritional Service Providers
OPI Codes
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