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