Active NPI
Lily S Kwan, MBA, MS,RD, LD, LMNT
- Registered Dietitian
- Monterey Park, CA
National Provider Identifier
1487372728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 892681
- Practice address
- 904 Tegner Dr
Monterey Park, CA 91755-5750 - Phone
- (626) 590-4537
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 892681 | CA | Primary |
Addresses
Primary practice location
904 Tegner Dr
Monterey Park, CA 91755-5750
Mailing address
904 Tegner Dr
Monterey Park, CA 91755-5750
Phone (626) 590-4537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892681 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1487372728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 TEGNER DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917555750",
"telephone_number": "626-590-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 TEGNER DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917555750",
"telephone_number": "626-590-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAN",
"first_name": "LILY",
"middle_name": "S",
"credential": "MBA, MS,RD, LD, LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "892681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.