Provider Demographics
NPI:1114517695
Name:CARDENAS ARRIAGA, SARA EUNICE (MPH, RDN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:EUNICE
Last Name:CARDENAS ARRIAGA
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3861 S BRISTOL ST # 1053
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-7426
Mailing Address - Country:US
Mailing Address - Phone:909-919-6409
Mailing Address - Fax:
Practice Address - Street 1:3861 S BRISTOL ST # 1053
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-7426
Practice Address - Country:US
Practice Address - Phone:909-919-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2024-10-21
Deactivation Date:2024-06-26
Deactivation Code:
Reactivation Date:2024-10-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered