Search › California › 133V00000X
Tara Jensen, RD, IBCLC
NPI 1649050436 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3720 1/2 Corinth Ave
Los Angeles, CA 90066 - Phone
- (310) 402-7611
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 174N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California