MEDICARE: VARITH YIMLAMAI R.D.

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
1	133V00000X	Registered Dietitian	915992

General Provider Information

NPI Number	:	1063797637
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VARITH YIMLAMAI R.D.

Provider Business Mailing Address
First Line	:	2203 W ALMOND AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3405
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2203 W ALMOND AVE
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-3405
Country	:	US
Telephone Number	:	714-376-1860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2011
Last Update Date	:	10/14/2011

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Directions to “ VARITH YIMLAMAI R.D.” Practice Location

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