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NPI Code Detail

MEDICARE: DEANNA RONNE RDN CDN LDN

MEDICARE: DEANNA RONNE RDN CDN LDN
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 Dietitian4692MA

General Provider Information

NPI Number : 1811535552
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNA RONNE RDN CDN LDN
Provider Business Mailing Address
First Line : 3990 MARCASEL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4616
Country : US
Telephone Number : 781-635-4926
Fax Number : 833-892-0506
Provider Business Practice Location Address
First Line : 3990 MARCASEL AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-4616
Country : US
Telephone Number : 781-635-4926
Fax Number : 833-892-0506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 09/11/2025

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