Provider Demographics
NPI:1093097701
Name:HUNG, KRISTEN ASHLEY (MPH, RDN)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:ASHLEY
Last Name:HUNG
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:MS
Other - First Name:KRISTEN
Other - Middle Name:ASHLEY
Other - Last Name:NG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPH, RDN
Mailing Address - Street 1:3330 LOMITA BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5002
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3330 LOMITA BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5002
Practice Address - Country:US
Practice Address - Phone:310-325-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered