Basic Information
| Provider Information | |||||||||
| NPI: | 1588957393 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRINGAS | ||||||||
| FirstName: | JULIET | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RD MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 27901 SAND CANYON RD | ||||||||
| Address2: | |||||||||
| City: | CANYON COUNTRY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913873644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8184297248 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 45074 10TH ST W | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 935342371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6619422391 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2011 | ||||||||
| LastUpdateDate: | 05/26/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 332722 | IL | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.