MEDICARE: EVELYN GIFFIN RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1841154291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN GIFFIN RDN

Provider Business Mailing Address
First Line	:	30 PALATINE APT 334
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-8864
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 PALATINE APT 334
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-8864
Country	:	US
Telephone Number	:	217-898-5068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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