Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Preventive Nutrition for Life, LLC

Organization Registered Dietitian · NPI 1457271546

Preventive Nutrition for Life, LLC is a Registered Dietitian in Lake Forest, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1074 Viejo Hills Dr
Lake Forest, CA 92610-3029
Phone: (949) 436-6182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1457271546
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cerissa Roman — Owner · (949) 436-6182
NPI enumeratedJuly 17, 2026
Last updated in NPPESJuly 17, 2026
Certification dateJuly 18, 2026
Mailing address1074 Viejo Hills Dr, Lake Forest, CA 92610-3029

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