Provider Demographics
NPI:1174911507
Name:TURQUIE SACAL, DEBORAH (MS, RDN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:TURQUIE SACAL
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11348 VISTA SORRENTO PKWY
Mailing Address - Street 2:K104
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-7649
Mailing Address - Country:US
Mailing Address - Phone:650-521-4912
Mailing Address - Fax:
Practice Address - Street 1:4010 SORRENTO VALLEY BLVD
Practice Address - Street 2:400
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-1432
Practice Address - Country:US
Practice Address - Phone:650-521-4912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-08
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01018898133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered