Basal Nutrition Llc | |
43020 Black Deer Loop Ste 206, Temecula, CA 92590-3406 | |
(951) 238-7725 | |
Not Available |
Full Name | Basal Nutrition Llc |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 43020 Black Deer Loop Ste 206, Temecula, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730807520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Dustin George Fristed |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1073050720 PECOS PAC ID: 7214309970 Enrollment ID: I20230207002379 |
Mailing Address | Practice Location Address |
---|---|
Basal Nutrition Llc 43020 Black Deer Loop Ste 206, Temecula, CA 92590-3406 Ph: (714) 955-3545 | Basal Nutrition Llc 43020 Black Deer Loop Ste 206, Temecula, CA 92590-3406 Ph: (951) 238-7725 |
Mr. Bryan Rene Luna, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 39068 Sundance Cir, Temecula, CA 92591 Phone: 360-904-1732 | |
Jalapeno Health, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30983 Putter Cir, Temecula, CA 92591 Phone: 510-364-9794 | |
Rd Nutrition Therapy Dietitian Medicare: Not Enrolled in Medicare Practice Location: 45386 Via Nubes, Temecula, CA 92592 Phone: 951-760-1489 | |
Kaylene Sackett, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44605 Avenida De Missiones Ste 100, Temecula, CA 92592 Phone: 951-302-3675 | |
Joyce Barbara Berenson, R.D., C.D.E. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 45740 Palmetto Way, Temecula, CA 92592 Phone: 951-676-0285 Fax: 951-676-3225 | |
Mrs. Jeannette Miller, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 31957 Calle Galarza, Temecula, CA 92592 Phone: 951-764-7066 | |
Siuying Leung Selfridge, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 31615 Avenida Del Reposo, Temecula, CA 92591 Phone: 951-237-3886 |