IndividualActive
Olutosin Kirya, DTR, CLT
NPI 1023507282 · Registered Dietetic Technician · San Juan Capistrano, CA
Provider details
- NPI number
- 1023507282
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- DTR, CLT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86143459 (CA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
31654 Rancho Viejo Rd Ste G
San Juan Capistrano, CA 92675-2774
Phone: (949) 899-8361
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2867
Mission Viejo, CA 92690-0867
Registry dates
- Enumerated
- 2018-05-03
- Last updated
- 2018-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.