Healthcare Provider Details

I. General information

NPI: 1558277541
Provider Name (Legal Business Name): ELEANOR MERES SIMON RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 ALISAL RD
SOLVANG CA
93463-2103
US

IV. Provider business mailing address

780 ALISAL RD
SOLVANG CA
93463-2103
US

V. Phone/Fax

Practice location:
  • Phone: 805-680-2825
  • Fax:
Mailing address:
  • Phone: 805-680-2825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86432134
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: