IndividualActive
Keyla Sifre, REGISTERED DIETITIAN
NPI 1104675867 · Pediatric Nutrition Registered Dietitian · Los Angeles, CA
Provider details
- NPI number
- 1104675867
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- REGISTERED DIETITIAN
- Sex
- Female
- Sole proprietor
- No
- License
- 86076177 (VA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Practice location
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone: (323) 361-8532
Approximate (ZIP-level) locationGet directions
Mailing address
514 Boissevain Ave Apt 2
Norfolk, VA 23507-2144
Registry dates
- Enumerated
- 2024-05-15
- Last updated
- 2024-05-15
- Certified
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.