OrganizationActive
Advanced Nutrition Therapy, LLC
NPI 1669410197 · Registered Dietitian · San Clemente, CA
Provider details
- NPI number
- 1669410197
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Authorized official
- Julia Levine, President
Practice location
3834 Vista Azul
San Clemente, CA 92672-4542
Phone: (310) 367-8190
Fax: (949) 492-9492
Mailing address
3834 Vista Azul
San Clemente, CA 92672-4542
Registry dates
- Enumerated
- 2006-06-04
- Last updated
- 2008-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.