Healthy Selfie, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

934068 Issued in CA

Legal business name

HEALTHY SELFIE, LLC

Practice address

230 S Houser Dr
Covina, CA 91722-3757

Phone

(619) 200-2165

Fax

(619) 609-0924

NPI assigned

Sep 13, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Bou Sleiman, MS, RDN, CLT

Title

Registered Dietitian Nutritionist

Phone

(619) 200-2165

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1063960664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S HOUSER DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223757",
            "telephone_number": "619-200-2165",
            "fax_number": "619-609-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S HOUSER DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917223757",
            "telephone_number": "619-200-2165",
            "fax_number": "619-609-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SELFIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "BOU SLEIMAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN NUTRITIONIST",
        "authorized_official_telephone_number": "619-200-2165",
        "authorized_official_credential": "MS, RDN, CLT"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "934068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Covina, CA
• Providers in Covina, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.