| Diana Laura Vergara Rodriguez, RD, CLEC | |
|
200 W Arbor Dr, San Diego, CA 92103-9000 | |
| (800) 926-8273 | |
| Not Available |
| Full Name | Diana Laura Vergara Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 200 W Arbor Dr, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053057547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 86119037 (California) | Primary |
| Provider Name | Regents Of The University Of California |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376646869 PECOS PAC ID: 3577476761 Enrollment ID: O20031112000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Laura Vergara Rodriguez, RD, CLEC Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Diana Laura Vergara Rodriguez, RD, CLEC 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
Traci Roberts, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 858-657-7000 | |
Shanna Michael Miller-nabas, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-576-1700 | |
Samantha N Johansen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2741 A St Apt H, San Diego, CA 92102 Phone: 619-607-5536 | |
Carling Slawson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 907 Johnson Ave, San Diego, CA 92103 Phone: 858-342-8697 | |
Alissa Marie Keeling Sheehy, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10140 Campus Point Dr, San Diego, CA 92121 Phone: 858-678-7050 | |
Victoria Saldivar, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-576-1700 | |
Stuti H Purohit, MS,RD,CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3520 Lebon Dr Unit 5305, San Diego, CA 92122 Phone: 404-281-8454 |