| West Coast Dietitian | |
|
4132 Katella Ave Ste 101a, Los Alamitos, CA 90720-3426 | |
| (562) 276-0126 | |
| (855) 610-2299 |
| Full Name | West Coast Dietitian |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4132 Katella Ave Ste 101a, Los Alamitos, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659157642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Austin Nicholus Peesset Bou |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497394258 PECOS PAC ID: 5395220784 Enrollment ID: I20260402003910 |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Dietitian 17901 Pioneer Blvd Ste L113, Artesia, CA 90701-3952 Ph: (562) 276-0126 | West Coast Dietitian 4132 Katella Ave Ste 101a, Los Alamitos, CA 90720-3426 Ph: (562) 276-0126 |
Verus Wellness Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5122 Katella Ave Ste 310, Los Alamitos, CA 90720 Phone: 949-438-0826 |
Katrina A Lopez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2882 Tucker Ln, Los Alamitos, CA 90720 Phone: 562-810-5194 |
Kathryn Elizabeth Henning, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3810 Katella Ave, Los Alamitos, CA 90720 Phone: 714-334-2480 Fax: 714-578-0043 |
Mrs. Karin N. London, MPH, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11311 Kelly Ln, Los Alamitos, CA 90720 Phone: 562-596-1921 |
Austin Bou, RD, CDCES Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4132 Katella Ave Ste 101a, Los Alamitos, CA 90720 Phone: 562-276-0126 Fax: 855-610-2299 |
Kathy Henning Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3810 Katella Ave, Los Alamitos, CA 90720 Phone: 714-334-2480 Fax: 562-598-9527 |
Mrs. Kristin A Biddle, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3121 Brimhall Dr, Los Alamitos, CA 90720 Phone: 562-394-3780 |