Provider Demographics
NPI:1154108488
Name:HEALTH BY SAPNA
Entity type:Organization
Organization Name:HEALTH BY SAPNA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAPNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:PERUVEMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:925-719-8699
Mailing Address - Street 1:25775 SUNRISE WAY
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-3826
Mailing Address - Country:US
Mailing Address - Phone:925-719-8699
Mailing Address - Fax:
Practice Address - Street 1:25775 SUNRISE WAY
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3826
Practice Address - Country:US
Practice Address - Phone:925-719-8699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty