Provider Demographics
NPI:1285299214
Name:SHARP NUTRITION LLC
Entity type:Organization
Organization Name:SHARP NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD
Authorized Official - Phone:310-617-8606
Mailing Address - Street 1:2815 BARKLEY LN
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-1710
Mailing Address - Country:US
Mailing Address - Phone:310-617-8606
Mailing Address - Fax:833-232-9769
Practice Address - Street 1:2447 PACIFIC COAST HWY STE 235
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-2714
Practice Address - Country:US
Practice Address - Phone:310-617-8606
Practice Address - Fax:833-232-9769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty