Maitano, a Limited Liability Corporation
NPI #1083367924 in Moreno Valley, California
Provider Information
- NPI Number
- 1083367924
- Entity Type
- Organization
- Organization Name
- Maitano, a Limited Liability Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MAITANO
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Feb 1, 2022
- Last Updated
- Feb 1, 2022
Practice Location
- Address
- 12125 DAY ST STE H308
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92557-6705
- Phone
- (951) 801-4000
Authorized Official
- Name
- CORDIALIS MSORA-KASAGO, MA, RDN, DIPACLM
- Title
- CHIEF CONSULTANT
- Phone
- (951) 801-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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