Provider Demographics
NPI:1447525126
Name:WEITZ, SHERI LEE (RD)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:LEE
Last Name:WEITZ
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 1:7870 BLERIOT AVE
Mailing Address - Street 2:
Mailing Address - City:WESTCHESTER
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2905
Mailing Address - Country:US
Mailing Address - Phone:310-678-9316
Mailing Address - Fax:
Practice Address - Street 1:7870 BLERIOT AVE
Practice Address - Street 2:
Practice Address - City:WESTCHESTER
Practice Address - State:CA
Practice Address - Zip Code:90045-2905
Practice Address - Country:US
Practice Address - Phone:310-678-9316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered