Basic Information
| Provider Information | |||||||||
| NPI: | 1982903332 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GIANNELLA | ||||||||
| FirstName: | ANNA | ||||||||
| MiddleName: | DELFINA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | R. D. - C. D. E. | ||||||||
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| Mailing Information | |||||||||
| Address1: | FILE # 54433 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900744433 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6197845888 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9894 GENESEE AVE | ||||||||
| Address2: | RM 134 | ||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8586265626 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/24/2011 | ||||||||
| LastUpdateDate: | 03/24/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.