Individual provider · Type 1 NPI

Theodore R. Mitchell Iv, RDN

Pediatric Nutrition Registered Dietitian · Los Angeles, CA

NPI number 1063269587 Active

Practice location

1727 W 51st Pl
Los Angeles, CA 90062-2341

Other practice locations

  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 · (323) 660-2450

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004XNone listed

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1063269587

Theodore R. Mitchell Iv, RDN's National Provider Identifier is 1063269587, issued on May 2, 2024. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Los Angeles, CA. The record was last updated on May 2, 2024.