Individual provider · Type 1 NPI
Diana K. Shore
Nutrition Education Nutritionist · Northridge, CA
NPI number
1194758664
Active
Practice location
18546 Roscoe Blvd, Suite 230
Northridge, CA 91324-4663
Fax (818) 886-7501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nutrition Education Nutritionist Primary | 133NN1002X | 557560 (CA) |
| Registered Dietitian | 133V00000X | 557560 (CA) |
Nutrition Education Nutritionist: Definition to come...
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About NPI 1194758664
Diana K. Shore's National Provider Identifier is 1194758664, issued on Jul 8, 2006. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Northridge, CA. The record was last updated on Sep 11, 2025.