Miss Audra L Gustafson, RD | |
1600 San Fernando Rd, San Fernando, CA 91340-3115 | |
(818) 365-8086 | |
Not Available |
Full Name | Miss Audra L Gustafson |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1600 San Fernando Rd, San Fernando, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790961456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 948201 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Miss Audra L Gustafson, RD 1172 N Maclay Ave, San Fernando, CA 91340-1328 Ph: (818) 898-1388 | Miss Audra L Gustafson, RD 1600 San Fernando Rd, San Fernando, CA 91340-3115 Ph: (818) 365-8086 |
Sandy D Flores, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St Ste 100-110, San Fernando, CA 91340 Phone: 818-963-5690 | |
Ms. Karol Ann Matson, R. D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St, Suite150, San Fernando, CA 91340 Phone: 818-837-3775 Fax: 818-837-3799 | |
Ms. Jessica King, MPH, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 531 5th St Unit A, San Fernando, CA 91340 Phone: 818-270-9700 | |
Partners In Care Foundation Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St, Ste 150, San Fernando, CA 91340 Phone: 818-837-3775 Fax: 818-837-3799 |