Jennifer Crosdale, MS, RD | |
715 N Marguerita Ave, Alhambra, CA 91801-1248 | |
(626) 626-1346 | |
Not Available |
Full Name | Jennifer Crosdale |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 715 N Marguerita Ave, Alhambra, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275952509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 925850 (California) | Primary |
Provider Name | Balboa Nephrology Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316997505 PECOS PAC ID: 9638164015 Enrollment ID: O20040415001031 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Crosdale, MS, RD 715 N Marguerita Ave, Alhambra, CA 91801-1248 Ph: (626) 626-1346 | Jennifer Crosdale, MS, RD 715 N Marguerita Ave, Alhambra, CA 91801-1248 Ph: (626) 626-1346 |
Carly Vong, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1308 Edgewood Dr, Alhambra, CA 91803 Phone: 626-457-8230 | |
Diana Orozco, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 W Valley Blvd Ste 206, Alhambra, CA 91803 Phone: 626-283-5128 | |
Terrance Brian Tang, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 425 N Stoneman Ave Apt C, Alhambra, CA 91801 Phone: 323-422-2154 | |
Miss Ian Lei Chan, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 801 W Valley Blvd Ste 206, Alhambra, CA 91803 Phone: 626-283-5128 Fax: 888-851-3688 | |
Fang-ting Yeh, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 788 S Stoneman Ave Unit C, Alhambra, CA 91801 Phone: 562-472-7928 | |
Sherry Dinh, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 116 S Electric Ave, Alhambra, CA 91801 Phone: 626-927-8566 |