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

Individual provider Registered Dietitian · NPI 1780102053

Nicole Desiree Al-Shafie is a Registered Dietitian in Glendale, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

620 N Brand Blvd Ste 401
Glendale, CA 91203-1210
Phone: (424) 345-2123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11949 Jefferson Blvd Ste 106, Culver City, CA 90230-6336 — (424) 345-2123

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 1013062 (CA)

Record details

NPI number1780102053
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2017
Last updated in NPPESMarch 17, 2018

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