Provider Demographics
NPI:1659978864
Name:NEWRO NUTRITIONAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:NEWRO NUTRITIONAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:909-272-8400
Mailing Address - Street 1:15699 PECAN LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-9074
Mailing Address - Country:US
Mailing Address - Phone:909-272-8400
Mailing Address - Fax:
Practice Address - Street 1:15699 PECAN LN
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92337-9074
Practice Address - Country:US
Practice Address - Phone:909-272-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty