360 Nutrition Consulting INC
Dietitian, Registered in Camarillo, CA. Organization (NPI-2).
NPI number1033629175
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1033629175
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Nutrition Consulting INC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2017
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
400 Mobil Ave Ste D9Camarillo, CA 93010-6376
Phone 805-738-5700
Mailing address
400 Mobil Ave Ste D9Camarillo, CA 93010-6376
Phone 805-738-5700 · Fax 805-738-5701
Other practice locations
10510 Sw Laurel Rd
Beaverton, OR 97005
Beaverton, OR 97005
Phone 805-738-5700 · Fax 805-738-5701
Authorized official
Kelsea Johanna Palace
Owner
8054445919
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