Provider Demographics
NPI:1982050175
Name:AKBANY, LUBNA (RD)
Entity type:Individual
Prefix:
First Name:LUBNA
Middle Name:
Last Name:AKBANY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21179 CHIRPING SPARROW RD
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-3765
Mailing Address - Country:US
Mailing Address - Phone:818-618-4032
Mailing Address - Fax:
Practice Address - Street 1:5001 BIRCH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2116
Practice Address - Country:US
Practice Address - Phone:714-482-3596
Practice Address - Fax:888-786-5530
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA811049133V00000X, 133VN1004X, 133VN1006X, 133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic