Provider Demographics
NPI:1154887958
Name:HANDLER, PAIGE (MS, RD)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:HANDLER
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4160 KLUMP AVE
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91602-3314
Mailing Address - Country:US
Mailing Address - Phone:718-781-7732
Mailing Address - Fax:855-882-5211
Practice Address - Street 1:857 ALANDELE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-4639
Practice Address - Country:US
Practice Address - Phone:718-781-7732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-17
Last Update Date:2019-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
CA86057844133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered