Tami Broderick, RD is a
Dietitian, Registered based in Corona Del Mar, California. Tami Broderick is licensed to practice in California (license number 954681) and her current practice location is
436 Heliotrope Ave, Suite 2b, Corona Del Mar, California. She can be reached at her office (for appointments etc.) via phone at
(949) 723-9533.
NPI number for Tami Broderick is 1083915714 and her current mailing address is 5181 Argosy Ave, Huntington Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083915714.
Healthcare Provider's Profile
Full Name | Tami Broderick |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 436 Heliotrope Ave, Corona Del Mar, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083915714
- Provider Enumeration Date: 11/11/2010
- Last Update Date: 11/11/2010
Medical Identifiers
Medical identifiers for Tami Broderick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083915714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 954681 (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. Tami Broderick 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 |
Tami Broderick, RD 5181 Argosy Ave, Huntington Beach, CA 92649-1058 Ph: (714) 624-7700 | Tami Broderick, RD 436 Heliotrope Ave, Suite 2b, Corona Del Mar, CA 92625-2911 Ph: (949) 723-9533 |
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