Provider Demographics
NPI:1679852693
Name:DIANE MACHCINSKI M ED RD INC
Entity Type:Organization
Organization Name:DIANE MACHCINSKI M ED RD INC
Other - Org Name:A PLUS NUTRITION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHCINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:858-279-5124
Mailing Address - Street 1:5181 ABUELA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2020
Mailing Address - Country:US
Mailing Address - Phone:858-279-5124
Mailing Address - Fax:800-856-1193
Practice Address - Street 1:5181 ABUELA DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-2020
Practice Address - Country:US
Practice Address - Phone:858-279-5124
Practice Address - Fax:800-856-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFM309AMedicare UPIN
CAMNT499464Medicare UPIN