Coorina Ayala, RD
Dietitian, Registered in San Jose, CA. Individual provider (NPI-1).
NPI number1245433341
StatusActive
Last updated in NPPESJan 6, 2023
Details
- NPI
- 1245433341
- Entity type
- Individual (NPI-1)
- Name
- Coorina Ayala
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2007
- Certification date
- Jan 6, 2023
- Last updated
- Jan 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 893760 | CA | Yes |
| 174400000X | Specialist | 21800673 | CA | |
| 174N00000X | Lactation Consultant, Non-RN | L-19266 | – |
Practice location
500 Tully RdSan Jose, CA 95111-1917
Phone 888-334-1000
Mailing address
632 E Alisal StSalinas, CA 93905-2602
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