Debbie Vongviwat, MS, RDN | |
2212 E 4th St Ste 301, Santa Ana, CA 92705 | |
(714) 628-3242 | |
Not Available |
Full Name | Debbie Vongviwat |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2212 E 4th St Ste 301, Santa Ana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316502792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86062680 (California) | Primary |
Provider Name | Providence Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Debbie Vongviwat, MS, RDN 1095 Irvine Blvd, Tustin, CA 92780-3526 Ph: (714) 505-7110 | Debbie Vongviwat, MS, RDN 2212 E 4th St Ste 301, Santa Ana, CA 92705 Ph: (714) 628-3242 |
Victoria Catherwood, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 809 E Hood Ave, Santa Ana, CA 92707 Phone: 714-600-0145 | |
Carolina Michelle Zayas, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2212 E 4th St Ste 301, Santa Ana, CA 92705 Phone: 714-628-3242 | |
Paula M Partch, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2212 E 4th St, Santa Ana, CA 92705 Phone: 714-628-3242 Fax: 714-744-0136 | |
Ana Cristina Jurczyk, R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2212 E 4th St, Suite 301, Santa Ana, CA 92705 Phone: 714-628-3242 | |
Ms. Sara T Yeung, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1227 W. 17th St Altamed, Santa Ana, CA 92706 Phone: 714-502-0192 | |
Sonia Molina, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2100 W Alton Ave Ste 2, Santa Ana, CA 92704 Phone: 310-497-5116 | |
Mrs. Elieta Cho, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 N Main St, Santa Ana, CA 92701 Phone: 888-499-9303 |