Sylvia Colucci, RD

Individual provider Active NPI Registered Dietitian · Orinda, CA

NPI 1982367660 · NPPES record last updated Oct 19, 2021

Key facts

NPI
1982367660
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1008929 (CA)
Practice address
67 Tara Rd
Orinda, CA 94563-3116
Phone
(415) 999-7440
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1008929CAMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1008929 CA Yes

Addresses

Primary practice location

67 Tara Rd
Orinda, CA 94563-3116

Mailing address

67 Tara Rd
Orinda, CA 94563-3116
Phone (415) 999-7440

Other practice location 1

1700 Montgomery St
San Francisco, CA 94111-1021
Phone (415) 999-7440

Other providers in Orinda, CA

All providers in Orinda, CA · Registered Dietitian in California

Sources for this page

Verify at the official NPI Registry.