DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: 360 NUTRITION CONSULTING LLC

MEDICARE: 360 NUTRITION CONSULTING LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1033629175
Entity Type Code : Organization
Provider Name (Legal Business Name) : 360 NUTRITION CONSULTING LLC
Provider Business Mailing Address
First Line : 400 MOBIL AVE STE D9
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-6376
Country : US
Telephone Number : 805-738-5700
Fax Number : 805-830-1735
Provider Business Practice Location Address
First Line : 400 MOBIL AVE STE D9
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-6376
Country : US
Telephone Number : 805-738-5700
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KELSEA JOHANNA CREGUT
Credential : RDN
Telephone Number : 805-738-5700
Provider Enumeration Date : 10/03/2017
Last Update Date : 11/14/2024

Similar Medicare Providers

1770241218 — ERICA JOHNSON
Practice Location Address:
400 MOBIL AVE STE D9
CAMARILLO, CA
93010-6376
Practice Phone: 216-401-0335
Practice Fax:
1053432369 — MS. ELIZABETH ANN HOFFMAN M.S., R.D.N
Practice Location Address:
400 MOBIL AVE STE D9
CAMARILLO, CA
93010-6376
Practice Phone: 805-738-5700
Practice Fax: 805-738-5701
1265909451 — CHANEL VILLANUEVA HINOJOSA RD
Practice Location Address:
400 MOBIL AVE STE D9
CAMARILLO, CA
93010-6376
Practice Phone: 805-444-5919
Practice Fax:
1861094880 — BRITTANY LEE FOWLER
Practice Location Address:
400 MOBIL AVE STE D9
CAMARILLO, CA
93010-6376
Practice Phone: 805-738-5700
Practice Fax:
1144985391 — TATUM VEDDER
Practice Location Address:
400 MOBIL AVE STE D9
CAMARILLO, CA
93010-6376
Practice Phone: 805-738-5700
Practice Fax:
1215635818 — ALEXIS UNDERHILL RD
Practice Location Address:
400 MOBIL AVE STE D9
CAMARILLO, CA
93010-6376
Practice Phone: 805-738-5700
Practice Fax:

Directions to “360 NUTRITION CONSULTING LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.