Healthcare Provider Details

I. General information

NPI: 1356245484
Provider Name (Legal Business Name): ABUNDANCE NUTRITION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N SANTA ANITA AVE STE 800
ARCADIA CA
91006-3129
US

IV. Provider business mailing address

150 N SANTA ANITA AVE STE 800
ARCADIA CA
91006-3129
US

V. Phone/Fax

Practice location:
  • Phone: 626-382-7475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number StateNULL

VIII. Authorized Official

Name: FANG-TING YEH
Title or Position: PRESIDENT
Credential:
Phone: 562-472-7928