Michelle M Coppel, RD | |
113 Waterworks Way, Irvine, CA 92618-3167 | |
(949) 612-9090 | |
Not Available |
Full Name | Michelle M Coppel |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 113 Waterworks Way, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740642701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 940981 (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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Michelle M Coppel, RD 101 Talmadge, Irvine, CA 92602-0948 Ph: (949) 637-9173 | Michelle M Coppel, RD 113 Waterworks Way, Irvine, CA 92618-3167 Ph: (949) 612-9090 |
Lisa Ann Gibson, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 11 Quebrada, Irvine, CA 92620 Phone: 714-832-2388 | |
Sanam Tahan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9481 Irvine Center Dr Ste 110, Irvine, CA 92618 Phone: 949-478-5242 | |
Tracy Mckelvey, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 19722 Macarthur Blvd, Irvine, CA 92612 Phone: 949-824-8770 | |
Yuk Yi Lam, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 17600 Cartwright Rd Unit 503, Irvine, CA 92614 Phone: 269-259-8371 | |
Mrs. Olga Dona, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6650 Alton Pkwy # 2, Irvine, CA 92618 Phone: 949-310-3808 | |
Sasha Silver, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 47 Firwood, Irvine, CA 92604 Phone: 775-901-0743 | |
Mr. John David Sassone, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 52 Kazan St, Irvine, CA 92604 Phone: 714-348-8107 |