MEDICARE: AMANDA IRRGANG 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	86020191	CA

General Provider Information

NPI Number	:	1588342554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA IRRGANG RD

Provider Business Mailing Address
First Line	:	33922 GOLDEN LANTERN ST APT D
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-2322
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33922 GOLDEN LANTERN ST APT D
Second Line	:
City	:	DANA POINT
State	:	CA
Zip	:	92629-2322
Country	:	US
Telephone Number	:	619-717-1434
Fax Number	:

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

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	07/10/2023

Similar Medicare Providers

1750215471 — SARAH KAY SEBERT
Practice Location Address:

402 S DOUGLAS ST
ELK POINT, SD
57025-2322

Practice Phone: 605-356-5950
Practice Fax:

1114127321 — CHRISTINE T HOWELL PA-C
Practice Location Address:

1163 BRADFORD DR , APT 2
POINT PLEASANT BORO, NJ
08742-2322

Practice Phone: 732-892-5418
Practice Fax:

1295236248 — KATHERINE SUSANNE NIELSON
Practice Location Address:

402 S DOUGLAS ST
ELK POINT, SD
57025-2322

Practice Phone: 605-356-5846
Practice Fax:

1891510780 — SATONYA HILL-STEWART MSW, LCSW
Practice Location Address:

2403 TIMBERLAKE AVE
HIGH POINT, NC
27265-2322

Practice Phone: 336-554-4376
Practice Fax:

1982415196 — STONY POINT PHARMACY LLC
Practice Location Address:

44 S LIBERTY DR
STONY POINT, NY
10980-2322

Practice Phone: 845-244-6844
Practice Fax: 845-244-6840

1275468076 — HANNAH DEZZANI
Practice Location Address:

84 BRIDGEPORT ST
DANA POINT, CA
92629-3257

Practice Phone: 757-355-7181
Practice Fax:

Directions to “ AMANDA IRRGANG RD” 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.