| Elite Nutrition Services Inc. | |
|
3610 Central Ave Ste 400, Riverside, CA 92506-5907 | |
| (951) 330-4360 | |
| (888) 978-4430 |
| Full Name | Elite Nutrition Services Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3610 Central Ave Ste 400, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477221307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Kimberly Edwards |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447691274 PECOS PAC ID: 5395988729 Enrollment ID: I20130903000802 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Nutrition Services Inc. Po Box 858, Lake Elsinore, CA 92531-0858 Ph: () - | Elite Nutrition Services Inc. 3610 Central Ave Ste 400, Riverside, CA 92506-5907 Ph: (951) 330-4360 |
Elaf Farahat, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Avenue., Riverside, CA 92505 Phone: 951-353-5349 | |
Mrs. Michelle Missy Porteous, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11801 Pierce St, Suite 200, Riverside, CA 92505 Phone: 951-317-7657 Fax: 951-278-8665 | |
Mr. Matthew A Malouin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6349 San Diego Ave, Riverside, CA 92506 Phone: 909-658-9371 | |
Lorie Brendecke, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 922 Basilone Dr, Riverside, CA 92506 Phone: 951-776-7403 | |
Southern California Permanente Medical Group Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3951 Van Buren Blvd, Riverside, CA 92503 Phone: 866-862-4295 | |
Healthful Beginnings Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8350 Garfield St, Riverside, CA 92504 Phone: 951-591-9616 | |
Adali Hernandez Escareno, MS RDN LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6836 Butte Dr, Riverside, CA 92505 Phone: 915-588-3634 |