Gu, Cissy
Gu, Cissy is an sole proprietor health care provider with primary practice located at 1317 Longhorn Dr , San Dimas CA 91773-1152. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Gu, Cissy can be contacted via phone (909) 971-9204.Contact Information
Primary practice address
1317 Longhorn Dr
San Dimas CA 91773-1152
Phone: (909) 971-9204
Fax: (909) 971-9206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | 866115 | California |
Profile Details
| NPI number | 1700071305 |
|---|---|
| LBN Legal business name | Gu, Cissy |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Sep 7th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700071305 | NPPES |
| California | Other | 866115 | RD LICENSE |
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