Healthcare Provider Details

I. General information

NPI: 1922938893
Provider Name (Legal Business Name): ANNABELL LUELLEN CATANIA CERTIFIED DIETARY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 SKY PARK COURT SUITE 130
SAN DIEGO CA
92123
US

IV. Provider business mailing address

39269 VIA BELLEZA
MURRIETA CA
92563
US

V. Phone/Fax

Practice location:
  • Phone: 619-289-7788
  • Fax:
Mailing address:
  • Phone: 619-550-6790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code132700000X
TaxonomyDietary Manager
License NumberCDM
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: