| Doctor Name: | JOHANNA M DONG |
| NPI Number: | 1013141100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., R.D. |
| License Number: | 931795 |
| Business Practice Address: | 1200 Sixth Ave Suite 201 Belmont, CA - 940023856 |
| Business Phone Number: | 6504559242 |
| Business Fax Number: | |
| Mailing Address: | 313 Estrella Way, SAN MATEO |
| State: | CA |
| Postal Code: | 944032940 |
| Phone Number: | 6507036090 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2009 |
| NPI Last Update Date: | 04/06/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | 931795 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |