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NPI Code Detail

MEDICARE: JUAN CARLO ALHAMBRA RDN

MEDICARE:   JUAN CARLO  ALHAMBRA  RDN
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 Dietitian86111744CA

General Provider Information

NPI Number : 1407549868
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN CARLO ALHAMBRA RDN
Provider Business Mailing Address
First Line : 3909 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-3309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3909 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-3309
Country : US
Telephone Number : 408-337-2280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2023
Last Update Date : 05/19/2026

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Directions to “ JUAN CARLO ALHAMBRA RDN” Practice Location

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