Provider Demographics
NPI:1598137168
Name:SONNENBERG, CHRISTINA LOBUE (RDN, IFNCP)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LOBUE
Last Name:SONNENBERG
Suffix:
Gender:F
Credentials:RDN, IFNCP
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:MICHELLE
Other - Last Name:LOBUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, IFNCP
Mailing Address - Street 1:PO BOX 162
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:CA
Mailing Address - Zip Code:95669-0162
Mailing Address - Country:US
Mailing Address - Phone:951-704-3151
Mailing Address - Fax:
Practice Address - Street 1:18900 WHEELER WAY
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:CA
Practice Address - Zip Code:95669-0162
Practice Address - Country:US
Practice Address - Phone:951-704-3151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered