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ALFREDA SULISTIOWATI
NPI 1699036053
Nutritionist - Nutrition, Education in Loma Linda, CA

Active since June 01, 2012
24850 PROSPECT AVE APT D, LOMA LINDA, CA 92354(310) 309-1644 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alfreda Sulistiowati NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALFREDA SULISTIOWATI (NPI 1699036053) is an individual nutrition, education provider in Loma Linda, California, licensed in California (1099864) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1699036053
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameALFREDA SULISTIOWATI
Location Address24850 PROSPECT AVE APT DLoma Linda, CA 92354-2843
Mailing Address24850 Prospect Ave Apt DLoma Linda, CA 92354-2843 · (310) 309-1644
Phone(310) 309-1644
Sole ProprietorNo
Enumeration DateJune 1, 2012
✔ NPI 1699036053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License✔ Licensed in CA · 1099864
24850 PROSPECT AVE APT D, Loma Linda, CA 92354
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alfreda Sulistiowati's NPI number?

The NPI number for Alfreda Sulistiowati is 1699036053. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Alfreda Sulistiowati located?

Alfreda Sulistiowati practices at 24850 Prospect Ave Apt D, Loma Linda, CA 92354. The listed phone number is (310) 309-1644.

What is Alfreda Sulistiowati's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Alfreda Sulistiowati was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.