Provider Demographics
NPI:1992410138
Name:CHINOS, STEVEN (RD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:CHINOS
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BROOKLINE WAY
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-7024
Mailing Address - Country:US
Mailing Address - Phone:626-213-4810
Mailing Address - Fax:626-654-4859
Practice Address - Street 1:1 BROOKLINE WAY
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-7024
Practice Address - Country:US
Practice Address - Phone:626-213-4810
Practice Address - Fax:626-654-4859
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86293922133VN1201X, 133VN1501X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports Dietetics