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: BETTY LICCIARDO RD

MEDICARE: BETTY LICCIARDO RD
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
1133V00000XRegistered Dietitian718614

General Provider Information

NPI Number : 1043265622
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY LICCIARDO RD
Provider Business Mailing Address
First Line : 840 TOWNE CENTER DRIVE
Second Line : CHAPARRAL MEDICAL GROUP INC
City : POMONA
State : CA
Zip : 91767-5900
Country : US
Telephone Number : 909-398-1550
Fax Number : 909-398-1573
Provider Business Practice Location Address
First Line : 1904 N ORANGE GROVE AVE
Second Line :
City : POMONA
State : CA
Zip : 91767-3008
Country : US
Telephone Number : 909-469-1823
Fax Number : 909-469-1827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 09/20/2021

Similar Medicare Providers

1336117738 — RITA KAMAL PRADHAN MD
Practice Location Address:
1904 N ORANGE GROVE AVE , CHAPARRAL MEDICAL GROUP
POMONA, CA
91767-3008
Practice Phone: 909-469-1823
Practice Fax: 909-469-1827
1205804671 — DARYOOSH VALAMANESH M.D.
Practice Location Address:
1904 N ORANGE GROVE AVE
POMONA, CA
91767-3008
Practice Phone: 909-469-1823
Practice Fax: 909-469-1827
1649248782 — JAFFAR ABBAS TREMAZI MD
Practice Location Address:
1904 N ORANGE GROVE AVE
POMONA, CA
91767-3008
Practice Phone: 909-469-1823
Practice Fax: 909-469-1827
1821058470 — PRASAD ANJANEYA JEEREDDI MD
Practice Location Address:
1904 N ORANGE GROVE AVE
POMONA, CA
91767-3008
Practice Phone: 909-469-1823
Practice Fax: 909-469-1827
1205898327 — GURBINDER SINGH SADANA M.D.
Practice Location Address:
1940 N. ORANGE GROVE SUITE A
POMONA, CA
91767-3008
Practice Phone: 909-865-6900
Practice Fax: 909-865-6300
1114989241 — CHAPARRAL MEDICAL GROUP INC
Practice Location Address:
1904 N ORANGE GROVE AVE , CHAPARRAL MEDICAL GROUP
POMONA, CA
91767-3008
Practice Phone: 909-469-1823
Practice Fax: 909-469-1827

Directions to “ BETTY LICCIARDO RD” 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.