Provider Demographics
NPI:1831878164
Name:STEVEN CHINOS, RD L.L.C
Entity type:Organization
Organization Name:STEVEN CHINOS, RD L.L.C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHINOS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:626-213-4810
Mailing Address - Street 1:1 BROOKLINE WAY
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-7024
Mailing Address - Country:US
Mailing Address - Phone:626-213-4810
Mailing Address - Fax:626-654-4859
Practice Address - Street 1:1 BROOKLINE WAY
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-7024
Practice Address - Country:US
Practice Address - Phone:626-213-4810
Practice Address - Fax:626-654-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-13
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty
No133VN1501XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Sports DieteticsGroup - Single Specialty