CORAL DABARERA EDELSON


Address: 110 North La Brea Ave, Inglewood, CA 90301
Phone: 7815894127

CORAL DABARERA EDELSON (NPI# 1447896444) 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) 1447896444
Entity Type Individual
Full Name CORAL DABARERA EDELSON
Credential MS, RD
Practice Address 110 North La Brea Ave
Inglewood
CA 90301
Mailing Address 10866 Washington Blvd # 175
Culver City
CA 90232-3610
Practice Telephone 7815894127
Enumeration Date 2019-11-25
Last Update Date 2019-11-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 86081531 CA Dietary & Nutritional Service Providers

Office Location

Street Address 110 NORTH LA BREA AVE
City INGLEWOOD
State CA
Zip Code 90301

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1548897945 Genevieve V. Angel Registered Nurse 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 2020-03-25
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1821642125 Jennifer Robert Umoh Student in an Organized Health Care Education/Training Program 412 E Florence Avenue, Inglewood, CA 90301 2019-07-25
1821567751 Esther Voltaire Behavior Technician 619 E Arbor Vitae St, Inglewood, CA 90301 2018-11-21
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1710409321 Rae Shelston Mcintosh Licensed Vocational Nurse 1007 Myrth Ave, Inglewood, CA 90301 2017-07-14
1477093789 Lewis E Logan II Counselor 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 2017-03-06
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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

NPI Name Taxonomy Address Enumeration
1447331301 Mable Louise Everette Dietitian, Registered 110 S La Brea Ave # 213, Inglewood, CA 90301-1768 2006-10-18
1568974467 Alexis Brooks Dietitian, Registered 610 N Eucalyptus Ave, Inglewood, CA 90302-2202 2017-11-01
1477639557 Julie Lyn Oldenburg Dietitian, Registered 501 E Hardy St, Suite 100, Inglewood, CA 90301-4054 2006-10-31
1356360598 Ashlan S Oberholtzer Dietitian, Registered 555 E Hardy St, Inglewood, CA 90301-4011 2006-07-19
1295763464 Susan Mayeda Dietitian, Registered 555 E Hardy St, Inglewood, CA 90301-4011 2006-06-28
1033145750 Jamie Peipert Dietitian, Registered 555 E Hardy St, Inglewood, CA 90301-4011 2006-06-24
1851334064 Brittany Ann Higbee Dietitian, Registered 555 E Hardy St, Inglewood, CA 90301-4011 2006-06-14
1477514008 Michelle E Faello Dietitian, Registered 555 E Hardy St, Inglewood, CA 90301-4011 2006-03-31

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NPI Name Taxonomy Address Enumeration
1760083448 Fuad Al Qudsi Dietitian, Registered 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 2020-11-08
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1760083711 Gabriela E Zeagler Dietitian, Registered 1522 Halifax Way, El Dorado Hills, CA 95762-5841 2020-11-05
1427659796 Yun Chieh Huang Dietitian, Registered 733 W Naomi Ave, Arcadia, CA 91007-7561 2020-11-03
1497356794 Jelena Etemovic Dietitian, Registered 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 2020-11-03
1588264337 Apple Red Nutrition Services Dietitian, Registered 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 2020-10-30
1912507708 Eileen Hsiung Dietitian, Registered 830 Polaris Dr, Tustin, CA 92782-1720 2020-10-29
1912507831 Aneeta Maria Vedula Dietitian, Registered 4371 Lombard Ave, Fremont, CA 94536-4929 2020-10-29
1336749449 Sd Nutrition Group Dietitian, Registered 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 2020-10-28
1952901373 Rubit Quintero-cobian Dietitian, Registered 3557 Willis Dr, Napa, CA 94558-2452 2020-10-26
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Competitor

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City INGLEWOOD
Zip Code 90301

Improve Information

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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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