Organization
MAITANO, A LIMITED LIABILITY CORPORATION
Active
Parent organization
MAITANO
Other names
Inland Nutrition
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAITANO
Authorized official
CORDIALIS MSORA-KASAGO MA, RDN, DIPACLM (CHIEF CONSULTANT)
(951) 801-4000
Entity
Organization
Contact information
Practice address
12125 DAY ST STE H308, MORENO VALLEY, CA 92557-6705
(951) 801-4000
Mailing address
30086 DEW HURST ST, MENIFEE, CA 92584-7646
(951) 801-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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