IndividualActive
Andre Barzegar, DSS
NPI 1629969464 · Dietary Manager · Garden Grove, CA
Provider details
- NPI number
- 1629969464
- Entity type
- Individual
- Primary specialty
- Dietary ManagerDietary & Nutritional Service Providers
- Credential
- DSS
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
9162 Marchand Ave
Garden Grove, CA 92841-2035
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.