| Cleveland Nutrition, Llc | |
|
25200 Chagrin Blvd Ste 110 Beachwood OH 44122-5685 | |
| (216) 328-8086 | |
| Not Available |
| Full Name | Cleveland Nutrition, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 25200 Chagrin Blvd Ste 110, Beachwood, Ohio |
| Authorized Official Name and Position | David Gutman (OWNER) |
| Authorized Official Contact | 2162725751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Nutrition, Llc 2361 Beachwood Blvd Beachwood OH 44122-1474 Ph: (216) 272-5751 | Cleveland Nutrition, Llc 25200 Chagrin Blvd Ste 110 Beachwood OH 44122-5685 Ph: (216) 328-8086 |
| NPI Number | 1508485202 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 07/09/2021 |
| Medicare PECOS PAC ID | 5193156677 |
|---|---|
| Medicare Enrollment ID | O20200518001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508485202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David Gutman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396713749 PECOS PAC ID: 9335128867 Enrollment ID: I20040716001184 |
| Provider Name | Sophie Bria Schoen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790389690 PECOS PAC ID: 6406268200 Enrollment ID: I20201221001171 |
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