Provider Demographics
NPI:1417509712
Name:CORMIER, MONICA PARODI (RD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:PARODI
Last Name:CORMIER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W OCEAN BLVD APT 508
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-6103
Mailing Address - Country:US
Mailing Address - Phone:562-377-8691
Mailing Address - Fax:
Practice Address - Street 1:200 W OCEAN BLVD APT 508
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-6103
Practice Address - Country:US
Practice Address - Phone:562-377-8691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered