Healthcare Provider Details

I. General information

NPI: 1851627491
Provider Name (Legal Business Name): HRD CONSULTING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2009
Last Update Date: 11/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N GARFIELD AVE #311
MONTEREY PARK CA
91754-1166
US

IV. Provider business mailing address

1008 EL CAPITAN CT
WHITTIER CA
90601-1100
US

V. Phone/Fax

Practice location:
  • Phone: 626-283-5128
  • Fax: 888-851-3688
Mailing address:
  • Phone: 626-283-5128
  • Fax: 888-851-3688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number813739
License Number StateCA

VIII. Authorized Official

Name: HAZEL NG
Title or Position: PRESIDENT
Credential: R.D.
Phone: 626-922-1871