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Contact Information

STEPHANIE BUNAWAN
1540 CORTE SANTANA
UPLAND, CA91786-5184
 Phone: 909-680-5710
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for STEPHANIE BUNAWAN · (Female)

NPI Number 1700369048
Status Active
Credentials
Entity Individual
Enumeration date 09/12/2018
Last updated 04/24/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 86002961
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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