IndividualActive
Gabriella Childers, RDN
NPI 1144096140 · Sports Dietetics Nutrition Registered Dietitian · San Clemente, CA
Provider details
- NPI number
- 1144096140
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86170472 (SC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2945 Calle Guadalajara
San Clemente, CA 92673-3041
Phone: (864) 918-0222
Approximate (ZIP-level) locationGet directions
Mailing address
2945 Calle Guadalajara
San Clemente, CA 92673-3041
Registry dates
- Enumerated
- 2023-11-30
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.