Provider Demographics
NPI:1639668627
Name:GAWEL, ISABELLE MADELEINE (RDN)
Entity Type:Individual
Prefix:
First Name:ISABELLE
Middle Name:MADELEINE
Last Name:GAWEL
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 1:6280 E LOS SANTOS DR
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-3320
Mailing Address - Country:US
Mailing Address - Phone:562-235-0885
Mailing Address - Fax:
Practice Address - Street 1:24461 RIDGE ROUTE DR STE 220
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1686
Practice Address - Country:US
Practice Address - Phone:949-939-8450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-04
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered