Betty Licciardo, RD in Pomona, CA

Betty Licciardo, RD is a medicare enrolled "Dietitian, Registered" provider in Pomona, California. Her current practice location is 1904 N Orange Grove Ave, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 469-1823.

Betty Licciardo is licensed to practice in * (Not Available) (license number 718614) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043265622.

Contact Information

	Betty Licciardo, RD
	1904 N Orange Grove Ave, Pomona, CA 91767-3008
	(909) 469-1823
	(909) 469-1827

Map and Direction

Healthcare Provider's Profile

Full Name	Betty Licciardo
Gender	Female
Speciality
Experience	Years
Location	1904 N Orange Grove Ave, Pomona, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Betty Licciardo attended and graduated from in

NPI Data:

NPI Number: 1043265622
Provider Enumeration Date: 05/23/2006
Last Update Date: 09/20/2021

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Betty Licciardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043265622	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	718614 (* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Betty Licciardo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Betty Licciardo, RD 840 Towne Center Drive, Chaparral Medical Group Inc, Pomona, CA 91767-5900 Ph: (909) 398-1550	Betty Licciardo, RD 1904 N Orange Grove Ave, Pomona, CA 91767-3008 Ph: (909) 469-1823

Reviews and Comments

Dietitian, Registered in Pomona, CA

Maria Consuelo Castelan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-528-5046
Hsienhwa Chou, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-860-7799
Jenjira Sorreca Do, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1798 N Garey Ave, Pomona, CA 91767 Phone: 909-865-9501
Inland Valley Disease Management Clinic Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1904 N Orange Grove Ave, Pomona, CA 91767 Phone: 909-469-1823 Fax: 909-469-1827
Teresa Landis, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 255 E Bonita Ave, 2nd Floor, Suite 200, Pomona, CA 91767 Phone: 909-519-3207
Chaparral Medical Group Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1904 N Orange Grove Ave, Chaparral Medical Group, Pomona, CA 91767 Phone: 909-469-1823 Fax: 909-469-1827

Betty Licciardo, RD - Medicare Dietitian in Pomona, CA