IndividualActive
Bruce Underwood, DR.P.H.,M.S.E.,M.P.H
NPI 1851743827 · Nutritionist · Indian Wells, CA
Provider details
- NPI number
- 1851743827
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- DR.P.H.,M.S.E.,M.P.H
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Health Educator174H00000X
Other Service Providers
Practice location
75895 Altamira Dr
Indian Wells, CA 92210-8768
Phone: (760) 238-1446
Fax: (760) 773-9706
Approximate (ZIP-level) locationGet directions
Mailing address
75895 Altamira Dr
Indian Wells, CA 92210-8768
Registry dates
- Enumerated
- 2016-07-01
- Last updated
- 2016-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.