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

Stephanie Bunawan

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1700369048

Stephanie Bunawan is a Pediatric Nutrition Registered Dietitian in Upland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

1540 Corte Santana
Upland, CA 91786-5184
Phone: (909) 680-5710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86002961 (CA)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 86002961 (CA)
Gerontological Nutrition Registered Dietitian Taxonomy 133VN1101X · Licence 86002961 (CA)

Record details

NPI number1700369048
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2018
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address1540 Corte Santana, Upland, CA 91786-5184