Provider Demographics
NPI:1558963025
Name:SALINAS, ADRIANA RENE (RDN)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:RENE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9740 LA CIMA DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-1324
Mailing Address - Country:US
Mailing Address - Phone:562-505-7539
Mailing Address - Fax:
Practice Address - Street 1:23655 VIA DEL RIO STE C
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-2718
Practice Address - Country:US
Practice Address - Phone:714-695-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86130664133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered