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NPI Code Detail

MEDICARE: JESSICA LEOPALDI MS, RDN

MEDICARE: JESSICA LEOPALDI MS, 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 Dietitian86359637OR

General Provider Information

NPI Number : 1669323218
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LEOPALDI MS, RDN
Provider Business Mailing Address
First Line : 400 MOBIL AVE STE D9
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-6376
Country : US
Telephone Number : 805-738-5700
Fax Number : 805-738-5701
Provider Business Practice Location Address
First Line : 400 MOBIL AVE STE D9
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-6376
Country : US
Telephone Number : 805-738-5700
Fax Number : 805-738-5701
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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