Provider Demographics
NPI:1588941181
Name:KWOK, GIGI YIN CHI (MS, RD)
Entity type:Individual
Prefix:MISS
First Name:GIGI
Middle Name:YIN CHI
Last Name:KWOK
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7717 HESS PL
Mailing Address - Street 2:UNIT 3
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-8647
Mailing Address - Country:US
Mailing Address - Phone:714-883-4606
Mailing Address - Fax:
Practice Address - Street 1:7717 HESS PL
Practice Address - Street 2:UNIT 3
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-8647
Practice Address - Country:US
Practice Address - Phone:714-883-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1023100133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered