Sophia Brooke Daeseleer, RD is a
Dietitian, Registered based in Moreno, California. Sophia Brooke Daeseleer is licensed to practice in California (license number 86294851) and her current practice location is
27300 Iris Ave, Moreno, California. She can be reached at her office (for appointments etc.) via phone at
(951) 251-6000.
NPI number for Sophia Brooke Daeseleer is 1336876945 and her current mailing address is Po Box 1283, Kekaha, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336876945.
Healthcare Provider's Profile
Full Name | Sophia Brooke Daeseleer |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 27300 Iris Ave, Moreno, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336876945
- Provider Enumeration Date: 08/03/2022
- Last Update Date: 08/04/2022
Medical Identifiers
Medical identifiers for Sophia Brooke Daeseleer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336876945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86294851 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sophia Brooke Daeseleer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sophia Brooke Daeseleer, RD Po Box 1283, Kekaha, HI 96752-1283 Ph: () - | Sophia Brooke Daeseleer, RD 27300 Iris Ave, Moreno, CA 91786 Ph: (951) 251-6000 |
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