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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM ASHTIANI

Active Sole Proprietor

MARYAM ASHTIANI is a Renal Nutrition healthcare provider located in LA JOLLA, California. NPI 1740054618 is currently active in the NPPES registry. Verify at CMS.

Renal Nutrition · LA JOLLA, CA

Registration Details

NPI Number
1740054618
Provider Type
Individual
Gender
Female
NPI Issued
Nov 13, 2023 (2.5628248185488 yrs)
Last Updated
Mar 4, 2025
Licenses
860649
860649
Sole Proprietor
Yes

Practice Information

Address
10666 N TORREY PINES RD
LA JOLLA, CA, 920371027
Browse CA providers · Browse ZIP 92037
Phone
8585549765
Primary Specialty
Renal Nutrition
133VN1005X
Additional Specialty
Renal Nutrition
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.