Healthcare Provider Details

I. General information

NPI: 1548127947
Provider Name (Legal Business Name): RITUAL NUTRITION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1918 BONITA AVE # 208
BERKELEY CA
94704-1014
US

IV. Provider business mailing address

1918 BONITA AVE # 208
BERKELEY CA
94704-1014
US

V. Phone/Fax

Practice location:
  • Phone: 510-671-1454
  • Fax:
Mailing address:
  • Phone: 510-671-1454
  • Fax: 707-596-7997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELLEN MARIE ALONSO STREET
Title or Position: CEO/FOUNDER
Credential: MS, RD
Phone: 514-671-1454