NPI Code Details Logo

NPI 1376005504

NPI 1376005504 : CHELSEA HONRATH : NEWPORT BEACH, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1376005504
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHELSEA HONRATH
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/05/2019
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    500 SUPERIOR AVE 
-----------------------------------------------------
    City                 |    NEWPORT BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92663-3657
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    949-764-7277
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    16421 WOODSTOCK LN 
-----------------------------------------------------
    City                 |    HUNTINGTON BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92647-3239
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    133V00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Dietitian
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.