Provider Demographics
NPI:1518404201
Name:THE GUT CAUSE LLC
Entity Type:Organization
Organization Name:THE GUT CAUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:JR
Authorized Official - Credentials:CTNC, FDN-P
Authorized Official - Phone:714-989-6246
Mailing Address - Street 1:5666 WHITEWATER ST
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3736
Mailing Address - Country:US
Mailing Address - Phone:714-989-6246
Mailing Address - Fax:
Practice Address - Street 1:5666 WHITEWATER ST
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-3736
Practice Address - Country:US
Practice Address - Phone:714-989-6246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAITN-01082016133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty