| Paola Gabriela Anchondo, | |
|
6587 E Orleans Ave, Fresno, CA 93727-6567 | |
| (559) 824-4629 | |
| Not Available |
| Full Name | Paola Gabriela Anchondo |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 6587 E Orleans Ave, Fresno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366171977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1080621 (California) | Primary |
| Provider Name | Fueled By Leo Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336763473 PECOS PAC ID: 2567853112 Enrollment ID: O20211215002519 |
| Mailing Address | Practice Location Address |
|---|---|
| Paola Gabriela Anchondo, 6587 E Orleans Ave, Fresno, CA 93727-6567 Ph: (559) 824-4629 | Paola Gabriela Anchondo, 6587 E Orleans Ave, Fresno, CA 93727-6567 Ph: (559) 824-4629 |
Tenley A Griffin, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 980 E Richmond Ave, Fresno, CA 93720 Phone: 559-593-0789 | |
Mrs. Doreen Kimiyo Diaz, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 215 N Fresno Street, Suite 370, Fresno, CA 93701 Phone: 559-459-4543 Fax: 559-459-1524 | |
Nickolas James Dicks, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1649 Van Ness Ave, Fresno, CA 93721 Phone: 888-530-4415 | |
Kathryn Vietti, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8525 N Cedar Ave, Fresno, CA 93720 Phone: 559-440-9200 | |
Mrs. Chao-yun Chen, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2615 E Clinton Ave, Dept Of Nutrition And Food Service, Vacchcs, Fresno, CA 93703 Phone: 559-225-6100 Fax: 559-241-6483 | |
Mrs. Teryn Cook Buchanan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5305 N Fresno St Ste 103, Fresno, CA 93710 Phone: 559-824-8475 | |
Mrs. Melinda Susan Bush, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 290 N Wayte Ln, Fresno, CA 93701 Phone: 559-459-2739 |