Provider Demographics
NPI:1063738573
Name:PINEGAR, HAYLEY P (RD)
Entity type:Individual
Prefix:
First Name:HAYLEY
Middle Name:P
Last Name:PINEGAR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:P
Other - Last Name:RIACH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9894 GENESEE AVE
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1235
Mailing Address - Country:US
Mailing Address - Phone:858-626-5066
Mailing Address - Fax:
Practice Address - Street 1:10170 SORRENTO VALLEY RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1604
Practice Address - Country:US
Practice Address - Phone:858-784-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA984035133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered