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Organization
WEST COAST DIETITIAN
Active
Organization
WEST COAST DIETITIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN BOU RD, CDCES (PRESIDENT)
(562) 276-8057
Entity
Organization
Contact information
Practice address
4132 KATELLA AVE STE 101A, LOS ALAMITOS, CA 90720-3426
(562) 276-0126
(855) 610-2299
Mailing address
17901 PIONEER BLVD STE L113, ARTESIA, CA 90701-3952
(562) 276-0126
(855) 610-2299
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
03/02/2026
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