Khadivi, Yasaman

Khadivi, Yasaman is an individual health care provider with primary practice located at 7378 Pegasus Way , San Jose CA 95139-1241. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Khadivi, Yasaman can be contacted via phone (408) 693-0502.

Contact Information

Primary practice address
7378 Pegasus Way San Jose CA 95139-1241
Phone: (408) 693-0502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 86081191 California

Profile Details

NPI number 1306381538
LBN Legal business name Khadivi, Yasaman
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 25th, 2016
Last updated Jan 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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