MEDICARE: LINDA VARGAS 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
1	133V00000X	Registered Dietitian	884795	CA

General Provider Information

NPI Number	:	1700070935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA VARGAS R.D.

Provider Business Mailing Address
First Line	:	11801 PIERCE ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4408
Country	:	US
Telephone Number	:	951-315-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	11801 PIERCE ST
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92505-4408
Country	:	US
Telephone Number	:	951-315-2526
Fax Number	:

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

Provider Enumeration Date	:	08/30/2007
Last Update Date	:	03/03/2015

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