Marianna Yael Gonzalez Chavez, RDN | |
949 Palm Ave, Imperial Beach, CA 91932-1503 | |
(619) 429-3733 | |
Not Available |
Full Name | Marianna Yael Gonzalez Chavez |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 949 Palm Ave, Imperial 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 |
---|---|---|---|
1124532940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86055587 (California) | Primary |
Provider Name | Imperial Beach Community Clinic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790718351 PECOS PAC ID: 6709867880 Enrollment ID: O20040525001394 |
Mailing Address | Practice Location Address |
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Marianna Yael Gonzalez Chavez, RDN 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (702) 556-2180 | Marianna Yael Gonzalez Chavez, RDN 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 |
Miss Carlyn Angela Blevins, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 231 Elkwood Ave, Imperial Beach, CA 91932 Phone: 619-444-1833 | |
Annie E Scott, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 Fax: 619-429-3823 | |
Rdn Foundation Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 231 Elkwood Ave, Imperial Beach, CA 91932 Phone: 619-444-1833 |