Provider Demographics
NPI:1629677760
Name:HEALTH AND HEART
Entity Type:Organization
Organization Name:HEALTH AND HEART
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE.
Authorized Official - Middle Name:ANA
Authorized Official - Last Name:BAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN
Authorized Official - Phone:714-310-1145
Mailing Address - Street 1:333 W BASTANCHURY RD STE 110
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3433
Mailing Address - Country:US
Mailing Address - Phone:714-310-1145
Mailing Address - Fax:
Practice Address - Street 1:333 W BASTANCHURY RD STE 110
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3433
Practice Address - Country:US
Practice Address - Phone:714-310-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization