| Healthy Mission Dietitian, Inc. | |
|
50 W Lemon Ave Ste 8, Monrovia, CA 91016-5112 | |
| (626) 268-1353 | |
| (626) 231-0616 |
| Full Name | Healthy Mission Dietitian, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 50 W Lemon Ave Ste 8, Monrovia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386279792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Secondary |
| Provider Name | Edith Yang |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598197402 PECOS PAC ID: 4486083433 Enrollment ID: I20200326002961 |
| Provider Name | Melody Meloserdoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003524000 PECOS PAC ID: 6608212808 Enrollment ID: I20240311001692 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mission Dietitian, Inc. 469 N Canyon Blvd, Monrovia, CA 91016-2373 Ph: (626) 873-1273 | Healthy Mission Dietitian, Inc. 50 W Lemon Ave Ste 8, Monrovia, CA 91016-5112 Ph: (626) 268-1353 |
Kristine Wong, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 W Lemon Ave Ste 8, Monrovia, CA 91016 Phone: 626-268-1353 Fax: 626-231-0616 | |
Ms. Porche Jones, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 825 S Myrtle Ave, Monrovia, CA 91016 Phone: 626-471-9726 | |
Mr. Josiah Michael Cuckler, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 45 Hidden Valley Rd, Monrovia, CA 91016 Phone: 970-581-1206 | |
Ms. Edith Yang, RD, CSR, CLT, FAND Dietitian Medicare: Accepting Medicare Assignments Practice Location: 50 W Lemon Ave Ste 8, Monrovia, CA 91016 Phone: 626-873-1273 Fax: 626-231-0616 | |
Molly Grupe, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 825 S Myrtle Ave, Monrovia, CA 91016 Phone: 626-471-9710 | |
Carole Ann Bartolotto, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 825 S Myrtle Ave, Monrovia, CA 91016 Phone: 626-471-9710 |