Individual
GINA M LUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
11525 BROOKSHIRE AVE STE 301, ATTN MAGGIE NOLES, DOWNEY, CA 90241-4982
(562) 741-4461
(562) 741-4413
Mailing address
207 S SHAMROCK AVE APT D, MONROVIA, CA 91016-3000
(626) 357-2700
(562) 741-4413
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
983732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
983732
CDR
CA
Enumeration date
04/10/2008
Last updated
02/29/2024
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