Provider Demographics
NPI:1306672027
Name:RD NUTRITION THERAPY
Entity type:Organization
Organization Name:RD NUTRITION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:SAID
Authorized Official - Middle Name:MORALES
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:951-760-1489
Mailing Address - Street 1:45386 VIA NUBES
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-4909
Mailing Address - Country:US
Mailing Address - Phone:951-760-1489
Mailing Address - Fax:
Practice Address - Street 1:45386 VIA NUBES
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4909
Practice Address - Country:US
Practice Address - Phone:951-760-1489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty