| Kimberly Reiko Miyamoto, RD | |
|
24533 Cadiz Dr, Lomita, CA 90717-1156 | |
| (310) 749-7687 | |
| Not Available |
| Full Name | Kimberly Reiko Miyamoto |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Renal |
| Location | 24533 Cadiz Dr, Lomita, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861048456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Primary |
| Provider Name | Internal Medicine And Nephrology Med. Group Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497759104 PECOS PAC ID: 3173681400 Enrollment ID: O20081015000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Reiko Miyamoto, RD 24533 Cadiz Dr, Lomita, CA 90717-1156 Ph: (310) 749-7687 | Kimberly Reiko Miyamoto, RD 24533 Cadiz Dr, Lomita, CA 90717-1156 Ph: (310) 749-7687 |
Dr. Kathryn Amanda Hillstrom, EDD,MPH,RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 26315 Regent Ave, Lomita, CA 90717 Phone: 310-612-2075 | |
Bailee Hart, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2448 248th St, Lomita, CA 90717 Phone: 817-933-2623 | |
Mrs. Peggy T Hutzezon, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1748 260th St, Lomita, CA 90717 Phone: 310-530-2828 Fax: 310-530-5606 |