Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sd Medical Nutrition Therapy, PC

Organization Registered Dietitian · NPI 1861244774

Sd Medical Nutrition Therapy, PC is a Registered Dietitian in San Diego, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11365 Mandrake Pt
San Diego, CA 92131-3766
Phone: (619) 736-9020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1861244774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Zajac — Owner · (808) 554-2811
NPI enumeratedApril 3, 2024
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address11365 Mandrake Pt, San Diego, CA 92131-3766

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