Kathryn V Rodriguez, RD | |
4699 Jamboree Rd, Newport Beach, CA 92660-2526 | |
(949) 557-0714 | |
Not Available |
Full Name | Kathryn V Rodriguez |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4699 Jamboree Rd, 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 |
---|---|---|---|
1831526953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 1006544 (California) | Primary |
Provider Name | Providence Medical Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Kathryn V Rodriguez, RD 955 W Imperial Hwy Ste 220, Brea, CA 92821-3812 Ph: (714) 618-9500 | Kathryn V Rodriguez, RD 4699 Jamboree Rd, Newport Beach, CA 92660-2526 Ph: (949) 557-0714 |
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 |