Jenna Kaitlin Long, RD | |
1100 Quail St Ste 110, Newport Beach, CA 92660-2779 | |
(805) 217-9856 | |
Not Available |
Full Name | Jenna Kaitlin Long |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1100 Quail St Ste 110, 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 |
---|---|---|---|
1659882975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 86080469 (California) | Secondary |
133V00000X | Dietitian, Registered | 86080469 (California) | Primary |
Provider Name | University Medical Associates |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
Mailing Address | Practice Location Address |
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Jenna Kaitlin Long, RD 1100 Quail St Ste 110, Newport Beach, CA 92660-2779 Ph: () - | Jenna Kaitlin Long, RD 1100 Quail St Ste 110, Newport Beach, CA 92660-2779 Ph: (805) 217-9856 |
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 |