ELISE BORETZ


Address: 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625
Phone: 3106320415

ELISE BORETZ (NPI# 1457977530) 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) 1457977530
Entity Type Individual
Full Name ELISE BORETZ
Credential RD
Practice Address 3820 Martin Luther King Jr Blvd
Lynwood
CA 90262-3625
Practice Telephone 3106320415
Mailing Telephone 3106320415
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
N 133VN1101X

Office Location

Street Address 3820 MARTIN LUTHER KING JR BLVD
City LYNWOOD
State CA
Zip Code 90262-3625

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063417798 Lisa A Brockman Internal Medicine 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2005-06-17
1275132839 Claire Anne Vasquez Registered Nurse 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-10-23
1295347276 Beatriz Borjas Case Manager/Care Coordinator 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-08-20
1629696422 Jacqueline Lara Case Manager/Care Coordinator 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-07-08
1538784806 Rosa Lemus Registered Nurse 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-06-12
1861021206 Brenda Martin Case Manager/Care Coordinator 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-04-07
1578197802 Jorge Serrano Licensed Vocational Nurse 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2020-02-25
1356988414 Belen Gonzalez Licensed Vocational Nurse 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2019-12-06
1659917912 Carla Solis Registered Nurse 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2019-11-21
1124669791 Joshela Clark Occupational Therapist 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2019-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811546062 Sheila Maxine Wilkins Technician 3940 Palm Ave, Lynwood, CA 90262 2019-09-10
1891344669 Chezoma Latissue Davis Technician 4255 Niland St, Lynwood, CA 90262 2019-09-05
1295223345 Scla Comprehensive Surgical Medical Group, Inc. Clinic/Center 3628 E Imperial Hwy Ste 204, Lynwood, CA 90262 2018-04-24
1891213807 Grecia Veronica Nunez Case Manager/Care Coordinator 3680 E. Imperial Highway, Suite 200, Lynwood, CA 90262 2017-08-30
1134643448 Angelica Jazmin Alonso Cortes Case Manager/Care Coordinator 2610 Industry Way Suite A, Lynwood, CA 90262 2017-07-28
1134594997 Corinne Palma Counselor 11705 S. Alameda St., Lynwood, CA 90262 2015-12-04
1891175550 Nancy Bremmer Counselor 10705 S. Alameda Street, Los Angels, CA 90262 2015-06-08
1588041347 Jennifer Montoya Case Management 5433 E. Pelleur St., Lynwood, CA 90262 2015-04-30
1124440060 Susana Gyek Goy Chiropractor 11123 Long Beach Blvd. Suite 5, Lynwood Health Center, Lynwood, CA 90262 2014-01-13
1215368956 Baart Community Healthcare Clinic/Center 11315 S. Atlantic Blvd., Lynwood, CA 90262 2013-12-05
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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
1144840778 Ebony Marie Sanders Dietitian, Registered 3630 E Imperial Hwy, Lynwood, CA 90262-2609 2020-04-23
1184198889 Stephanie Register Dietitian, Registered 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2019-01-15
1831669209 Michelle Germany Dietitian, Registered 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2018-11-28
1821506320 Sarah Marie Jackson Dietitian, Registered 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2018-01-18
1720511454 Isabel Beas Dietitian, Registered 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2017-04-10
1649651365 Jesus Rocha Jr. Dietitian, Registered 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2015-06-18
1205223880 Carrie Pickinpaugh Dietitian, Registered 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262-3625 2015-04-21
1225376163 Lacey Lyons Dietitian, Registered 3630 E Imperial Hwy, Lynwood, CA 90262-2609 2013-01-28
1720226038 Donna Ann Maudlin Dietitian, Registered 3630 E Imperial Hwy, Lynwood, CA 90262-2636 2009-01-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760083448 Fuad Al Qudsi Dietitian, Registered 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 2020-11-08
1700487535 Katherine Zanville Dietitian, Registered 4928 Bellaire Ave, Valley Village, CA 91607-3419 2020-11-06
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 LYNWOOD
Zip Code 90262

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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