| Jessica Angel-quintero, MS, RD | |
|
10535 Foothill Blvd Ste 365, Rancho Cucamonga, CA 91730-7602 | |
| (909) 466-8810 | |
| Not Available |
| Full Name | Jessica Angel-quintero |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 10535 Foothill Blvd Ste 365, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891295093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86031675 (California) | Primary |
| Provider Name | Ilivewell Nutrition Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Angel-quintero, MS, RD 1584 N Euclid Ave, Upland, CA 91786-2303 Ph: () - | Jessica Angel-quintero, MS, RD 10535 Foothill Blvd Ste 365, Rancho Cucamonga, CA 91730-7602 Ph: (909) 466-8810 |
Annique Cornejo, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9479 Haven Ave, Rancho Cucamonga, CA 91730 Phone: 909-771-8023 | |
Gwendolyn Moore, MPH, RD Dietitian Medicare: Medicare Enrolled Practice Location: 7777 Milliken Ave Ste 360, #2, Rancho Cucamonga, CA 91730 Phone: 714-552-3802 Fax: 866-704-4779 | |
Melissa Vazquez, MPH, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6218 Sunnyhills Pl, Rancho Cucamonga, CA 91737 Phone: 909-702-4226 | |
Lily Chikhani, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5550 Rock Creek Rd, Rancho Cucamonga, CA 91739 Phone: 909-997-1702 | |
Mrs. Sara M Corder, RD, MPH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11450 Church St Apt 24, Rancho Cucamonga, CA 91730 Phone: 909-484-1849 | |
Isaac Diaz, MPH, LDN, CPT, CHES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6929 Valatta Pl, Rancho Cucamonga, CA 91701 Phone: 909-710-5794 | |
Jessica Seale, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9479 Haven Ave, Rancho Cucamonga, CA 91730 Phone: 909-771-8023 |