Provider Demographics
NPI:1306127568
Name:SCHENKER, JANET GOLUB (MED, RD)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:GOLUB
Last Name:SCHENKER
Suffix:
Gender:F
Credentials:MED, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12986 AZUSA CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-1303
Mailing Address - Country:US
Mailing Address - Phone:714-730-5579
Mailing Address - Fax:714-505-1877
Practice Address - Street 1:12986 AZUSA CIR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-1303
Practice Address - Country:US
Practice Address - Phone:714-730-5579
Practice Address - Fax:714-505-1877
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA654553133V00000X, 133VN1004X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal