1598137168 NPI number — MRS. CHRISTINA LOBUE SONNENBERG RDN, IFNCP

Table of content: MRS. CHRISTINA LOBUE SONNENBERG RDN, IFNCP (NPI 1598137168)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598137168 NPI number — MRS. CHRISTINA LOBUE SONNENBERG RDN, IFNCP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SONNENBERG
Provider First Name:
CHRISTINA
Provider Middle Name:
LOBUE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RDN, IFNCP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOBUE
Provider Other First Name:
CHRISTINA
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RDN, IFNCP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1598137168
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 162
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLYMOUTH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95669-0162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-704-3151
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
18900 WHEELER WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95669-0162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-704-3151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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