Mr Karl Cua, RD | |
955 W Imperial Hwy Ste 220, Brea, CA 92821-3812 | |
(714) 618-9500 | |
Not Available |
Full Name | Mr Karl Cua |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 955 W Imperial Hwy Ste 220, Brea, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134664642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 912858 (Illinois) | 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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Mr Karl Cua, RD 290 Macalester Dr, Walnut, CA 91789-2324 Ph: (909) 594-3557 | Mr Karl Cua, RD 955 W Imperial Hwy Ste 220, Brea, CA 92821-3812 Ph: (714) 618-9500 |
Kristin Nason, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 265 S Randolph Ave Ste 120, Brea, CA 92821 Phone: 877-516-0357 | |
Kaori S Murata-shih, MS, RD, CSR Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3230 E Imperial Hwy Ste 300, Brea, CA 92821 Phone: 626-236-0124 | |
Wan Yi Wang, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3230 E Imperial Hwy Ste 300, Brea, CA 92821 Phone: 559-740-3967 | |
Charlotte Hargrave, RD Dietitian Medicare: Medicare Enrolled Practice Location: 955 W Imperial Hwy Ste 220, Brea, CA 92821 Phone: 714-618-9500 | |
Lynette Broom, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3350 E Birch St Ste 206, Suite 206, Brea, CA 92821 Phone: 714-515-8510 | |
Nutri-life Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3230 E Imperial Hwy Ste 300, Brea, CA 92821 Phone: 626-548-9858 |