Provider Demographics
NPI:1588469308
Name:DIGRAZIA, SYDNEY IRENE (RD)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:IRENE
Last Name:DIGRAZIA
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4445 39TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-4609
Mailing Address - Country:US
Mailing Address - Phone:909-767-7257
Mailing Address - Fax:
Practice Address - Street 1:4445 39TH ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-4609
Practice Address - Country:US
Practice Address - Phone:909-767-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered