| Kanale Kapono Rodrigues, | |
|
8876 Mission Blvd, Riverside, CA 92509-2811 | |
| (951) 272-5580 | |
| Not Available |
| Full Name | Kanale Kapono Rodrigues |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 8876 Mission Blvd, Riverside, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740014380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (California) | Primary |
| Provider Name | County of Riverside |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023122967 PECOS PAC ID: 6507754488 Enrollment ID: O20040310001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Kanale Kapono Rodrigues, 8876 Mission Blvd, Riverside, CA 92509-2811 Ph: (951) 272-5580 | Kanale Kapono Rodrigues, 8876 Mission Blvd, Riverside, CA 92509-2811 Ph: (951) 272-5580 |
Elaf Farahat, PHD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10800 Magnolia Avenue., Riverside, CA 92505 Phone: 951-353-5349 |
Mrs. Michelle Missy Porteous, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11801 Pierce St, Suite 200, Riverside, CA 92505 Phone: 951-317-7657 Fax: 951-278-8665 |
Mr. Matthew A Malouin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6349 San Diego Ave, Riverside, CA 92506 Phone: 909-658-9371 |
Lorie Brendecke, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 922 Basilone Dr, Riverside, CA 92506 Phone: 951-776-7403 |
Southern California Permanente Medical Group Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3951 Van Buren Blvd, Riverside, CA 92503 Phone: 866-862-4295 |
Vanessa Sue Dalton, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3968 Linwood Pl, Riverside, CA 92506 Phone: 951-202-8284 |
Healthful Beginnings Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8350 Garfield St, Riverside, CA 92504 Phone: 951-591-9616 |