| Sunaina Deepak | |
|
3093 Citrus Cir Ste 165 Walnut Creek CA 94598-2676 | |
| (925) 325-0119 | |
| Not Available |
| Full Name | Sunaina Deepak |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 3093 Citrus Cir Ste 165, Walnut Creek, California |
| Authorized Official Name and Position | Sunaina Deepak (CEO) |
| Authorized Official Contact | 9253250119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunaina Deepak 3093 Citrus Cir Ste 165 Walnut Creek CA 94598-2676 Ph: () - | Sunaina Deepak 3093 Citrus Cir Ste 165 Walnut Creek CA 94598-2676 Ph: (925) 325-0119 |
| NPI Number | 1023706173 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 6406296540 |
|---|---|
| Medicare Enrollment ID | O20240506004342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023706173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Sunaina Deepak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417005588 PECOS PAC ID: 7012945496 Enrollment ID: I20050727000729 |
| Provider Name | Holly Soto |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508632613 PECOS PAC ID: 0446798268 Enrollment ID: I20240819001987 |
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