Provider Demographics
NPI:1174322648
Name:COOPER, DESIREE SEHATI (MS, RDN)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:SEHATI
Last Name:COOPER
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:HANNAH
Other - Last Name:SEHATI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, RDN
Mailing Address - Street 1:643 VIA CIELITO
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1221
Mailing Address - Country:US
Mailing Address - Phone:805-850-8962
Mailing Address - Fax:
Practice Address - Street 1:643 VIA CIELITO
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-1221
Practice Address - Country:US
Practice Address - Phone:805-850-8962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered