Search › California › 133V00000X
Cerissa Roman, MPH, RDN
NPI 1275120883 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1074 Viejo Hills Dr
Lake Forest, CA 92610 - Phone
- (863) 558-5218
- Organisation at this address
- Preventive Nutrition For Life, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133VN1005X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California