BETTY LICCIARDO


Address: 1915 Ervilla Ave., Chaparral Medical Group Inc, Pomona, CA 91767-3008
Phone: 9094691823

BETTY LICCIARDO (NPI# 1043265622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043265622
Entity Type Individual
Full Name BETTY LICCIARDO
Other Name BETTY SLESINGER
Credential RD
Practice Address 1915 Ervilla Ave.
Chaparral Medical Group Inc
Pomona
CA 91767-3008
Mailing Address 840 Towne Center Drive
Chaparral Medical Group Inc
Pomona
CA 91767-5900
Practice Telephone 9094691823
Practice Fax Number 9094691827
Mailing Telephone 9093981550
Mailing Fax Number 9093981573
Enumeration Date 2006-05-23
Last Update Date 2011-05-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 718614 Dietary & Nutritional Service Providers

Office Location

Street Address 1915 ERVILLA AVE.
CHAPARRAL MEDICAL GROUP INC
City POMONA
State CA
Zip Code 91767-3008

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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

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1124667639 Patricia Jacqueline Pauyo Dietitian, Registered 262 Richard Ct, Pomona, NY 10970-2305 2019-12-31
1306356274 Iris Epstein & Associates LLC Dietitian, Registered 978 Route 45 Ste 107, Pomona, NY 10970-3512 2017-10-05
1366980765 Sulaima Abdin-arafeh Dietitian, Registered 1425 Laurel Park Ave, Pomona, CA 91768-2837 2017-02-06
1619413457 Miriam Shurpin Dietitian, Registered 9 Emerald Dr, Pomona, NY 10970-2824 2017-01-18
1245600675 Christina Midori Inouye Dietitian, Registered 58 Rolling Hills Dr, Pomona, CA 91766-4831 2015-09-28
1902002983 Nutrition Improvement Center Dietitian, Registered 978 Rte. 45 Northside Plaza, Suite 107, Pomona, NY 10970 2007-06-26
1184247561 Karina Nava Dietitian, Registered 1555 S Garey Ave, Pomona, CA 91766-5222 2020-05-20
1932674439 Emely Vanessa Reyes Dietitian, Registered 1555 S Garey Ave, Pomona, CA 91766-5222 2018-10-10
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Competitor

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City POMONA
Zip Code 91767

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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