# WISDOM FOODS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588011274
- **Authorized official:** MRS. CINDY M DIFERDINAND M.S. (PRESIDENT/CLINICAL NUTTRITIONIST)
- **Authorized official phone:** (714) 943-6206

## Contact information

- **Practice address:** 16987 ALGONQUIN STREET SUITE L, HUNTINGTON BEACH, CA 92649
- **Practice address phone:** (714) 943-6206
- **Mailing address:** 16987 ALGONGUIN STREET SUITE L, HUNTINGTON BEACH, CA 92649
- **Mailing address phone:** (714) 943-6206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | NULL | Yes |
| 133VN1006X | Metabolic Nutrition Registered Dietitian | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2016
- **Last updated:** 05/24/2016