Organization · Type 2 NPI

Southern California Permanente Medical Group

Registered Dietitian · Riverside, CA

NPI number 1063279651 Active

Practice location

3951 Van Buren Blvd
Riverside, CA 92503-3620

Call (866) 862-4295 Map

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: 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…

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About NPI 1063279651

Southern California Permanente Medical Group's National Provider Identifier is 1063279651, issued on Mar 1, 2024. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Riverside, CA. The record was last updated on Sep 30, 2026.