Healthcare Provider Details

I. General information

NPI: 1871154351
Provider Name (Legal Business Name): SYMPHONEATS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18616 BOLD ST
ROWLAND HEIGHTS CA
91748-2001
US

IV. Provider business mailing address

18616 BOLD ST
ROWLAND HEIGHTS CA
91748-2001
US

V. Phone/Fax

Practice location:
  • Phone: 323-409-3342
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATHERINE CHEN
Title or Position: OWNER
Credential: RD
Phone: 323-409-3342