Provider Demographics
NPI:1972324093
Name:GRECEA, KAREN (MS, RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:GRECEA
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:SABA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RD, CDN
Mailing Address - Street 1:11950 IDAHO AVE APT 412
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5976
Mailing Address - Country:US
Mailing Address - Phone:914-406-0159
Mailing Address - Fax:
Practice Address - Street 1:11950 IDAHO AVE APT 412
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5976
Practice Address - Country:US
Practice Address - Phone:914-406-0159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-21
Last Update Date:2025-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered