Provider Demographics
NPI:1851969349
Name:GOOD-TO-GO NUTRITION SERVICES LLC
Entity Type:Organization
Organization Name:GOOD-TO-GO NUTRITION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTICE RD
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHIKO
Authorized Official - Middle Name:H
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:818-317-0501
Mailing Address - Street 1:3589 CANYON CREST RD
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-3709
Mailing Address - Country:US
Mailing Address - Phone:818-317-0501
Mailing Address - Fax:
Practice Address - Street 1:3589 CANYON CREST RD
Practice Address - Street 2:
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-3709
Practice Address - Country:US
Practice Address - Phone:818-317-0501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, GerontologicalGroup - Single Specialty