Healthcare Provider Details

I. General information

NPI: 1083588792
Provider Name (Legal Business Name): KRISTEN RINDRESS RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2025
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4223 E ANAHEIM ST
LONG BEACH CA
90804-4202
US

IV. Provider business mailing address

6745 E MONLACO RD
LONG BEACH CA
90808-3036
US

V. Phone/Fax

Practice location:
  • Phone: 562-725-3224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: