Healthcare Provider Details

I. General information

NPI: 1437524428
Provider Name (Legal Business Name): JULIE CHING MS, RDN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2015
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 E COLORADO BLVD STE 180 2ND FLOOR
PASADENA CA
91101
US

IV. Provider business mailing address

4265 WALNUT GROVE AVE
ROSEMEAD CA
91770-1381
US

V. Phone/Fax

Practice location:
  • Phone: 323-880-0404
  • Fax: 626-774-7988
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86013632
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86013632
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: