Provider Demographics
NPI:1326710989
Name:NUTRITION AS THERAPY INC.
Entity Type:Organization
Organization Name:NUTRITION AS THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGNOLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-424-4055
Mailing Address - Street 1:6285 E SPRING ST # 284
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-4020
Mailing Address - Country:US
Mailing Address - Phone:562-424-4055
Mailing Address - Fax:949-577-4880
Practice Address - Street 1:990 HIGHWAY 287 N
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2607
Practice Address - Country:US
Practice Address - Phone:562-424-4055
Practice Address - Fax:949-577-4880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty