MRS. NICOLE FERGUSON MAHARAJ


Address: 12518 Rose Ave, Los Angeles, CA 90066-1518
Phone: 3107959391

MRS. NICOLE FERGUSON MAHARAJ (NPI# 1124326855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124326855
Entity Type Individual
Full Name MRS. NICOLE FERGUSON MAHARAJ
Credential MS, RD, CDE
Practice Address 12518 Rose Ave
Los Angeles
CA 90066-1518
Practice Telephone 3107959391
Practice Fax Number 3103064847
Mailing Telephone 3107959391
Mailing Fax Number 3103064847
Enumeration Date 2011-03-03
Last Update Date 2012-03-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
Dietary & Nutritional Service Providers

Office Location

Street Address 12518 ROSE AVE
City LOS ANGELES
State CA
Zip Code 90066-1518

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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90066

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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