| Elizabeth Bolduc, RD | |
|
2138 Loggia, Newport Beach, CA 92660-9038 | |
| (949) 338-4154 | |
| Not Available |
| Full Name | Elizabeth Bolduc |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2138 Loggia, Newport Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275199903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86046375 (California) | Primary |
| Provider Name | Theracare Psychology And Wellness |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487200515 PECOS PAC ID: 9537593371 Enrollment ID: O20200102001478 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Bolduc, RD Po Box 80912, San Marino, CA 91118-8912 Ph: () - | Elizabeth Bolduc, RD 2138 Loggia, Newport Beach, CA 92660-9038 Ph: (949) 338-4154 |
Kelly Greenstreet, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8205 | |
Courtney Dair Toya, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1300 Quail St Ste 105, Newport Beach, CA 92660 Phone: 562-480-8757 Fax: 844-825-7716 | |
Capella Tong, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Hoag Dr, Newport Beach, CA 92663 Phone: 949-764-8205 | |
Dietitian Appointment Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Quail St, Suite 110, Newport Beach, CA 92660 Phone: 949-861-3447 | |
Ms. Bethany Elam, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 Medina Way, Newport Beach, CA 92661 Phone: 703-598-5087 | |
Kimberly Storm, M.S., R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1601 Avocado Ave Ste 100, Newport Beach, CA 92660 Phone: 949-719-3600 | |
Dietitianshar Consulting Services Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4533 Macarthur Blvd Ste A5217, Newport Beach, CA 92660 Phone: 949-409-1508 Fax: 949-955-2066 |