Provider Demographics
NPI:1821765868
Name:BALANCED HEALTH RD L.L.C.
Entity Type:Organization
Organization Name:BALANCED HEALTH RD L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMARA-GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIPARIP
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:909-447-9817
Mailing Address - Street 1:5644 ANDOVER WAY
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-8785
Mailing Address - Country:US
Mailing Address - Phone:909-447-9817
Mailing Address - Fax:
Practice Address - Street 1:5644 ANDOVER WAY
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-8785
Practice Address - Country:US
Practice Address - Phone:909-447-9817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty