| John Canlas Nutrition Llc | |
|
2075 Diamond Blvd Ste H-210, Concord, CA 94520-5827 | |
| (909) 362-9434 | |
| Not Available |
| Full Name | John Canlas Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 2075 Diamond Blvd Ste H-210, Concord, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356012678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | John Patrick Canlas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639760762 PECOS PAC ID: 9638560055 Enrollment ID: I20211220000849 |
| Mailing Address | Practice Location Address |
|---|---|
| John Canlas Nutrition Llc 1647 Willow Pass Rd, Concord, CA 94520-2611 Ph: (909) 362-9434 | John Canlas Nutrition Llc 2075 Diamond Blvd Ste H-210, Concord, CA 94520-5827 Ph: (909) 362-9434 |
Sandra Liddicoat, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1868 Clayton Rd, Suite 123, Concord, CA 94520 Phone: 925-586-3224 | |
Tszwing Ho, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1706 Gyger Ct, Concord, CA 94521 Phone: 415-359-5245 | |
Marlene Ceballo, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2355 Stanwell Cir, Concord, CA 94520 Phone: 925-646-5145 | |
Ms. Marcia Yamashiro, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1868 Clayton Rd, Suite 220, Concord, CA 94520 Phone: 925-686-9316 | |
Mrs. Susanne Marie Howard, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5466 Preston Ct, Concord, CA 94521 Phone: 925-408-2694 | |
Mrs. Lynne Ann Trestrail, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2300 Stanwell Dr Ste C, Concord, CA 94520 Phone: 925-677-7492 |