| Glucosamigos Pc | |
|
1254 S Waterman Ave Ste 28, San Bernardino, CA 92408-2857 | |
| (909) 763-2551 | |
| (866) 475-0054 |
| Full Name | Glucosamigos Pc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1254 S Waterman Ave Ste 28, San Bernardino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841972007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Provider Name | Rita Rubin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710643390 PECOS PAC ID: 5890159370 Enrollment ID: I20230918000576 |
| Mailing Address | Practice Location Address |
|---|---|
| Glucosamigos Pc 1254 S Waterman Ave Ste 28, San Bernardino, CA 92408-2857 Ph: (909) 763-2551 | Glucosamigos Pc 1254 S Waterman Ave Ste 28, San Bernardino, CA 92408-2857 Ph: (909) 763-2551 |
Nellie Elizabeth Campa Perez, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 724 Sequoia St, San Bernardino, CA 92407 Phone: 909-559-7555 |
Berta A Saedinia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 S D St, San Bernardino, CA 92415 Phone: 909-286-3436 |
Brian Lau, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2121 N D St, San Bernardino, CA 92405 Phone: 844-464-6554 |
Donna Panganiban, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 Phone: 833-463-5485 |
Yu-yen Lee, RD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158 |
Mrs. Angela Lorraine Dawson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3767 W Meyers Rd, San Bernardino, CA 92407 Phone: 909-908-3118 |
Nadia M Nemeh, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave, Ste 427, San Bernardino, CA 92404 Phone: 909-882-1210 Fax: 909-882-0716 |