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LIFESTYLE MEDICINE INSTITUTE NPI 1669898193


NPI Information

NPI: 1669898193
Provider Name: LIFESTYLE MEDICINE INSTITUTE
Classification: Dietitian, Registered - 133V00000X
Entity Type: Organization
Address:
25805 BARTON RD
BLDG. A, UNIT 106
LOMA LINDA, CA
ZIP 92354
Phone: (909) 796-7676
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LIFESTYLE MEDICINE INSTITUTE is a dietitian registered in Loma Linda, CA. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. LIFESTYLE MEDICINE INSTITUTE NPI is 1669898193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25805 BARTON RD
BLDG. A, UNIT 106
LOMA LINDA, CA
ZIP 92354-814
Phone: (909) 796-7676
Fax: (909) 586-9342

The provider's authorized official is Kimberly Paulien .
The authorized official title is Business Development Support and has the following contact phone number (909) 283-6005.

The enumeration date for this NPI number is 3/7/2014 and was last updated on 3/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered01107466CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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