Gu, Cissy

Gu, Cissy is an sole proprietor health care provider with primary practice located at 1317 Longhorn Dr , San Dimas CA 91773-1152. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Gu, Cissy can be contacted via phone (909) 971-9204.

Contact Information

Primary practice address
1317 Longhorn Dr San Dimas CA 91773-1152
Phone: (909) 971-9204
Fax: (909) 971-9206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X 866115 California

Profile Details

NPI number 1700071305
LBN Legal business name Gu, Cissy
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700071305 NPPES
California Other 866115 RD LICENSE

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