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

Bahar Brocken

Individual provider Registered Dietitian · NPI 1104604487

Bahar Brocken is a Registered Dietitian in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

8540 Costa Verde Blvd Apt 4407
San Diego, CA 92122-1173
Phone: (858) 281-8479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86145178 (CA)

Record details

NPI number1104604487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

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