Lifestyle Medicine Institute LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01107466 Issued in CA

Legal business name

LIFESTYLE MEDICINE INSTITUTE LLC

Practice address

25805 Barton Rd
BLDG. a, Unit 106
Loma Linda, CA 92354-3814

Phone

(909) 796-7676

Fax

(909) 586-9342

NPI assigned

Mar 7, 2014

Organization subpart

No

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

Authorized official

Name

Justine Kuehn

Title

Managing Director

Phone

(408) 209-2688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1669898193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15732 LOS GATOS BLVD # 125",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322504",
            "telephone_number": "909-796-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25805 BARTON RD",
            "address_2": "BLDG. A, UNIT 106",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543814",
            "telephone_number": "909-796-7676",
            "fax_number": "909-586-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE MEDICINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KUEHN",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "408-209-2688"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "01107466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayce Liang
• Cesar Libanati, M.D.
• Hilda Licon
• Heidelissa Nazareno Licup, RN
• Christine Lien, DO
• Lifted Performance Physical Therapy Inc
• Lauren Lightbourne
• Yifan Eve Lii, MD, PHD
• Anthony Martin Lim, MD
• Divina R. Lim, N.P.

• Registered Dietitian in Loma Linda, CA
• Providers in Loma 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 Jun 25, 2026; 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.