Christine Bou Sleiman, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

934068 Issued in CA

Practice address

504 W Baseline Rd Ste C
Glendora, CA 91740-4837

Phone

(626) 626-7673

Fax

(619) 609-0924

NPI assigned

Mar 29, 2022

Last updated

Mar 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1124768270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W ROUTE 66 # 301",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406208",
            "telephone_number": "626-626-7673",
            "fax_number": "619-609-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W BASELINE RD STE C",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404837",
            "telephone_number": "626-626-7673",
            "fax_number": "619-609-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU SLEIMAN",
        "first_name": "CHRISTINE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "934068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephen Warren Bowen, D.M.D.
• Lori Boyer
• Jacqueline Bracy, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.