Rebecca Rose Berg, RDN | |
3852 Vinton Ave, Culver City, CA 90232-3132 | |
(310) 554-8911 | |
Not Available |
Full Name | Rebecca Rose Berg |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3852 Vinton Ave, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386281160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86096203 (California) | Primary |
Provider Name | Bamboo Nutrition Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164917282 PECOS PAC ID: 4789014986 Enrollment ID: O20200429002902 |
Mailing Address | Practice Location Address |
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Rebecca Rose Berg, RDN 10866 Washington Blvd # 407, Culver City, CA 90232-3610 Ph: (310) 554-8911 | Rebecca Rose Berg, RDN 3852 Vinton Ave, Culver City, CA 90232-3132 Ph: (310) 554-8911 |
Alexandria Cotie, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4325 Tuller Ave, Culver City, CA 90230 Phone: 708-705-8903 | |
Ms. Waka Fukuhara Banchi, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4315 Motor Ave, Culver City, CA 90232 Phone: 310-493-5376 | |
Sasha Millice, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4104 Madison Ave Apt 3, Culver City, CA 90232 Phone: 424-272-5112 | |
Raz Grammer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5650 Windsor Way Apt 202, Culver City, CA 90230 Phone: 323-440-9810 | |
Jensine Yang, MS RD CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 3138 Reid Ave, Culver City, CA 90232 Phone: 909-210-6268 | |
Torrey Mitsunaga, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10930 Wagner St, Culver City, CA 90230 Phone: 818-359-8470 |