| Surfside Nutrition, Llc | |
|
13 Stanislaus Ave, Ventura, CA 93004-1147 | |
| (925) 699-3002 | |
| Not Available |
| Full Name | Surfside Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 13 Stanislaus Ave, Ventura, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053099143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Nutrition, Llc 13 Stanislaus Ave, Ventura, CA 93004-1147 Ph: (805) 263-7273 | Surfside Nutrition, Llc 13 Stanislaus Ave, Ventura, CA 93004-1147 Ph: (925) 699-3002 |
Hannah Ellen Moore, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2605 Loma Vista Rd, Ventura, CA 93003 Phone: 777-754-4083 |
Mary Georgiana Kiddle, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5066 Fax: 805-641-1706 |
Rickie Hauer-beaghler, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3291 Loma Vista Rd, Bldg. 340, Suite 302, Ventura, CA 93003 Phone: 805-652-6255 |
Sophie Desroches, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 147 N Brent St, Ventura, CA 93003 Phone: 805-652-5066 Fax: 805-641-1706 |
Heidi Mcmahan, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5755 Valentine Rd Ste 201, Ventura, CA 93003 Phone: 805-665-3180 Fax: 805-256-6081 |
Desiree Sehati Cooper, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 643 Via Cielito, Ventura, CA 93003 Phone: 805-850-8962 |
Kathleen Elizabeth West, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2722 Johnson Drive, #200, Ventura, CA 93003 Phone: 805-642-1430 |