Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Wen

Individual provider Registered Dietitian · NPI 1770454282

Grace Wen is a Registered Dietitian OR Nutrition Professional in Victorville, California. Qualified in 2025, 1 year ago. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone: (760) 684-4143
Fax: (760) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (CA)

Record details

NPI number1770454282
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026
Mailing address12640 Hesperia Rd Ste D, Victorville, CA 92395-7753

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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