Organization
KIND KIDNEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA LYNN PERREIRA-PICO RDN (CO-OWNER)
(818) 207-4225
Entity
Organization
Contact information
Practice address
281 E COLORADO BLVD # 2501, PASADENA, CA 91101-1903
(818) 207-4225
(626) 628-3050
Mailing address
281 E COLORADO BLVD # 2501, PASADENA, CA 91101-1903
(818) 207-4225
(626) 628-3050
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86-1923096
—
CA
Enumeration date
04/13/2021
Last updated
12/09/2021
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