| Ms Chanel Nicole Suares, RD | |
|
200 Ucla Medical Plaza Suite 265, Los Angeles, CA 90074-6114 | |
| (310) 301-8860 | |
| Not Available |
| Full Name | Ms Chanel Nicole Suares |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 200 Ucla Medical Plaza Suite 265, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184027898 | NPI | - | NPPES |
| 86029129 | Other | CA | COMMISSION ON DIETETIC REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 86029129 (California) | Primary |
| 133V00000X | Dietitian, Registered | 86029129 (California) | Secondary |
| Provider Name | Uc Regents |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Chanel Nicole Suares, RD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: (310) 301-5200 | Ms Chanel Nicole Suares, RD 200 Ucla Medical Plaza Suite 265, Los Angeles, CA 90074-6114 Ph: (310) 301-8860 |
Mrs. Fabiana C Lahmon, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 N Vermont Ave, Los Angeles, CA 90027 Phone: 323-783-7011 | |
Tracey Kurland, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12121 Wilshire Blvd, 601, Los Angeles, CA 90025 Phone: 310-820-0205 | |
Ms. Barbara Erthal Smeral Hollander, RD, MD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8730 Alden Drive, Thalians, E220, Los Angeles, CA 90048 Phone: 310-423-8056 | |
Amanda Salvestrini, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11301 Wilshire Blvd, Building 213. 3rd Floor. Room 317., Los Angeles, CA 90073 Phone: 310-478-3711 | |
Rachana Rose Varghese, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-660-2450 | |
Jeannie Wakamatsu, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 Phone: 213-740-1728 | |
Food And Mirth Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1444 N Poinsettia Pl Apt 217, Los Angeles, CA 90046 Phone: 818-804-8056 |