MEDICARE: VICKY ADEVA RDN IBCLC

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	825881	CA
2	174N00000X	Lactation Consultant (Non-RN)	L-13187	CA

General Provider Information

NPI Number	:	1356899371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKY ADEVA RDN IBCLC

Provider Business Mailing Address
First Line	:	5852 GAVIOTA AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90805-4304
Country	:	US
Telephone Number	:	562-570-4465
Fax Number	:	562-570-1754

Provider Business Practice Location Address
First Line	:	1043 ELM AVE STE 401
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3296
Country	:	US
Telephone Number	:	562-570-4465
Fax Number	:	562-570-1754

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

Provider Enumeration Date	:	09/19/2016
Last Update Date	:	09/19/2016

Similar Medicare Providers

1881828630 — A HELPING HAND COMPANION SVCS,LLC
Practice Location Address:

15522 FIORENZA CIR
DELRAY BEACH, FL
33446-3296

Practice Phone: 954-292-6217
Practice Fax: 561-499-6548

1336401272 — MRS. CHRISTINE K VOIGT ATC
Practice Location Address:

3296 DAM NECK RD
VIRGINIA BEACH, VA
23453-2614

Practice Phone: 757-716-3535
Practice Fax:

1851723969 — AIM FAMILY SERVICES
Practice Location Address:

221 MARKET ST , SUITE 554
VIRGINIA BEACH, VA
23462-3296

Practice Phone: 757-291-5134
Practice Fax: 757-490-8760

1184092249 — VICKI STAFKO
Practice Location Address:

3296 RELAY RD
ORMOND BEACH, FL
32174-7911

Practice Phone: 512-297-9146
Practice Fax:

1518427442 — RASHENA WILLIAMS
Practice Location Address:

1169 MADISON CHASE APT 1
WEST PALM BEACH, FL
33411-3296

Practice Phone: 561-902-9001
Practice Fax:

1477210946 — CRYSTAL N HUTCHINSON LCSW
Practice Location Address:

902 20TH PL
VERO BEACH, FL
32960-3296

Practice Phone: 772-519-6387
Practice Fax:

Directions to “ VICKY ADEVA RDN IBCLC” 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.