MEDICARE: CHUI TENG DIANE TAN 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
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1215886981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUI TENG DIANE TAN RD

Provider Business Mailing Address
First Line	:	24391 AVENIDA DE LA CARLOTA APT 470
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-7659
Country	:	US
Telephone Number	:	515-735-8773
Fax Number	:

Provider Business Practice Location Address
First Line	:	24411 HEALTH CENTER DR
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3651
Country	:	US
Telephone Number	:	515-735-8773
Fax Number	:

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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