OrganizationActive
Cloudberry Nutrition LLC
NPI 1053032292 · Pediatric Nutrition Registered Dietitian · Costa Mesa, CA
Provider details
- NPI number
- 1053032292
- Entity type
- Organization
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Authorized official
- Suzanna Faycurry, Employee
Mailing address
2541 Back Bay Loop
Costa Mesa, CA 92627-5421
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.