Healthcare Provider Details

I. General information

NPI: 1376339119
Provider Name (Legal Business Name): PEAK NUTRITION SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/17/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41877 ENTERPRISE CIR N SUITE 200
TEMECULA CA
92590
US

IV. Provider business mailing address

32942 COZY WAY
TEMECULA CA
92592-1344
US

V. Phone/Fax

Practice location:
  • Phone: 760-522-8377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DIANA JIMENEZ
Title or Position: FOUNDER
Credential: RD
Phone: 760-522-8377