Organization · NPI-2

Bay Area Community Diabetes Educators LLC

Dietitian, Registered · San Jose, CA

NPI number1902132806
StatusActive
Last updated in NPPESMay 29, 2015

Details

NPI
1902132806
Entity type
Organization (NPI-2)
Legal business name
Bay Area Community Diabetes Educators LLC
Organization subpart
No
Enumeration date
Oct 27, 2009
Last updated
May 29, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered931788CAYes
163WD0400X Registered Nurse, Diabetes Educator153880CA
133NN1002X Nutritionist, Nutrition, Education2091-0313CA

Other names

  • Bay Area Cde (Doing Business As)

Practice location

1150 S Bascom Ave
Ste 26
San Jose, CA 95128-3509

Phone 408-998-2325 · Fax 408-998-2022

Mailing address

1150 S Bascom Ave
Ste 26
San Jose, CA 95128-3509

Phone 408-998-2325 · Fax 408-998-2022

Authorized official

Chiang Lam
President
4089982325

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