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 provides Registered Dietitian services 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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