| Katia Fausto Elizalde, RDN | |
|
9293 1/2 Park St, Bellflower, CA 90706-5696 | |
| (562) 644-2354 | |
| Not Available |
| Full Name | Katia Fausto Elizalde |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 8 Years |
| Location | 9293 1/2 Park St, Bellflower, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093529398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86149790 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Provider Name | Providence Medical Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Katia Fausto Elizalde, RDN 9293 1/2 Park St, Bellflower, CA 90706-5696 Ph: (562) 644-2354 | Katia Fausto Elizalde, RDN 9293 1/2 Park St, Bellflower, CA 90706-5696 Ph: (562) 644-2354 |
Ms. Laura Lynn Vasquez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-4288 |
Giovannia Garcia, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9119 Mayne St, Bellflower, CA 90706 Phone: 562-714-4662 |
Mr. Ben Peter Bratcher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-4339 |
Matthew Ochei, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9635 1/2 Ramona St, Bellflower, CA 90706 Phone: 714-822-1913 |
Summer N Johnson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16611 Woodruff Ave Apt 30, Bellflower, CA 90706 Phone: 805-298-8202 |
Terrye W. Sevilla, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9400 Rosecrans Ave, Bellflower, CA 90706 Phone: 562-461-4288 Fax: 562-461-6446 |
Suly Monreal, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9750 Flower St, Bellflower, CA 90706 Phone: 562-281-9675 Fax: 866-403-6068 |