Individual provider · Type 1 NPI
Jan Goldberg
Nutrition Education Nutritionist · Bishop, CA
NPI number
1063309102
Active
Practice location
286 May St
Bishop, CA 93514-2712
Mailing address
128 Huerta Pl
Davis, CA 95616-0269
Other practice locations
- 128 Huerta Pl, Davis, CA 95616-0269 · (530) 400-7541
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | None listed |
Nutrition Education Nutritionist: Definition to come...
About NPI 1063309102
Jan Goldberg's National Provider Identifier is 1063309102, issued on Jun 20, 2025. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Bishop, CA. The record was last updated on Jun 20, 2025.