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NPI Code Detail

MEDICARE: PERPETUA RISOS MAGPURI R.D.

MEDICARE:   PERPETUA RISOS MAGPURI  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
1133V00000XRegistered DietitianR 459088CA

General Provider Information

NPI Number : 1548329337
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERPETUA RISOS MAGPURI R.D.
Provider Business Mailing Address
First Line : 3960 EDENHURST AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-1644
Country : US
Telephone Number : 323-668-9388
Fax Number :
Provider Business Practice Location Address
First Line : 1009 N AVALON BLVD
Second Line :
City : WILMINGTON
State : CA
Zip : 90744-4505
Country : US
Telephone Number : 310-549-5760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 07/08/2007

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Directions to “ PERPETUA RISOS MAGPURI R.D.” Practice Location

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