Organization · Type 2 NPI

Lifestyle Medicine Institute LLC

Registered Dietitian · Loma Linda, CA

NPI number 1669898193 Active

Practice location

25805 Barton Rd, Bldg. A, Unit 106
Loma Linda, CA 92354-3814

Fax (909) 586-9342

Mailing address

15732 Los Gatos Blvd # 125
Los Gatos, CA 95032-2504

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X01107466 (CA)

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 1669898193

Lifestyle Medicine Institute LLC's National Provider Identifier is 1669898193, issued on Mar 7, 2014. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Loma Linda, CA. The record was last updated on Jun 25, 2026.