Care360

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

897785 Issued in CA

Legal business name

CARE360

Practice address

20395 Yorba Linda Blvd
Yorba Linda, CA 92886-3062

Phone

(626) 518-2162

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Lily Hong, MPH, RD, FAND, FLE

Title

Owner

Phone

(626) 518-2162

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425081600000",
    "number": "1437541745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4857",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917650857",
            "telephone_number": "626-518-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20395 YORBA LINDA BLVD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863062",
            "telephone_number": "626-518-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE360",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-28",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-518-2162",
        "authorized_official_credential": "MPH, RD, FAND, FLE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "897785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.