| Stacey Doolin, RDN | |
|
2813 S Main St, Corona, CA 92882-5942 | |
| (951) 600-6343 | |
| Not Available |
| Full Name | Stacey Doolin |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2813 S Main St, Corona, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356110639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86072063 (California) | Primary |
| 174H00000X | Health Educator | 86072063 (California) | Secondary |
| 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 |
|---|---|
| Stacey Doolin, RDN 41013 Chambord Dr, Lake Elsinore, CA 92532-1533 Ph: Not Available | Stacey Doolin, RDN 2813 S Main St, Corona, CA 92882-5942 Ph: (951) 600-6343 |
Crystal Soule, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 S Main St, Corona, CA 92882 Phone: 951-737-4343 |
Mrs. Vilayvanh Bender, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13370 Goldenhorn Dr, Corona, CA 92883 Phone: 951-255-7090 Fax: 951-674-1354 |
Annie Chen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11709 Silver Birch Rd, Corona, CA 92883 Phone: 562-287-9555 |
Mrs. Samah Itani Shakhshir, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2971 Mcdonald Ln, Corona, CA 92881 Phone: 951-582-1728 Fax: 951-279-6326 |
Sameh Mahfouz, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 957 Stonehenge Cir, Corona, CA 92881 Phone: 951-454-2572 |
Ayako Hoblick, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27595 Edgemont Dr, Corona, CA 92883 Phone: 951-893-8983 |
Vivian Anigbogu, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13680 Desert Rdg, Corona, CA 92883 Phone: 949-689-1152 |