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Individual

AUSTIN BOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD, CDCES

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
12/27/2019
Last updated
03/02/2026
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