Provider Demographics
NPI:1255942256
Name:RIPARIP, AMARA-GRACE ANGELES (RDN)
Entity type:Individual
Prefix:
First Name:AMARA-GRACE
Middle Name:ANGELES
Last Name:RIPARIP
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:AMARA-GRACE
Other - Middle Name:RIPARIP
Other - Last Name:PANTALEON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN
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:248-798-6058
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:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86130605133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered