Provider Demographics
NPI:1982579892
Name:CLEARPATH KIDNEY DIETETICS
Entity type:Organization
Organization Name:CLEARPATH KIDNEY DIETETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANGI
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:909-968-6808
Mailing Address - Street 1:23409 MOUNT ASHLAND CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5015
Mailing Address - Country:US
Mailing Address - Phone:909-968-6808
Mailing Address - Fax:
Practice Address - Street 1:23409 MOUNT ASHLAND CT
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-5015
Practice Address - Country:US
Practice Address - Phone:909-968-6808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty