Renee M Soderquist, RD | |
100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 | |
(714) 446-5640 | |
(714) 446-5625 |
Full Name | Renee M Soderquist |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 18 Years |
Location | 100 E Valencia Mesa Dr, Fullerton, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124280557 | NPI | - | NPPES |
R711364 | Other | CA | RD LIC NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | R711364 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Provider Name | Providence Medical Foundation |
---|---|
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 |
---|---|
Renee M Soderquist, RD 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 Ph: (714) 446-5640 | Renee M Soderquist, RD 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 Ph: (714) 446-5640 |
Monica Martyn, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835 Phone: 714-446-5369 | |
Monique Garcia, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 433 W Bastanchury Rd, Fullerton, CA 92835 Phone: 714-446-7867 | |
Lauren Reynolds, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 504 Malvern Ave, Fullerton, CA 92832 Phone: 714-625-7232 | |
Mrs. Rosa Li Tse, M.S. R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2511 Regency Cir, Fullerton, CA 92833 Phone: 714-525-8815 Fax: 714-525-8815 | |
Danielle Halewijn, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1227 Riedel Ave, Fullerton, CA 92831 Phone: 562-900-4945 | |
Susan Watkins, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835 Phone: 714-446-5640 Fax: 714-446-5625 |