Mrs. Jessica Susana Ridao Penaflor
Internist Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
1000 W Carson St
Torrance
, California 90502-2004
Mrs. Jessica Susana Ridao Penaflor
Internist Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health Nurse Practitioner - Primary Care
1000 W Carson St
Torrance
, California 90502-2004
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About
Features
Specialties
- Internist
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Mrs. Jessica Susana Ridao Penaflor
- 1000 W Carson St
- Torrance, CA
- Zip : 90502-2004
- Phone :
Second Address
- Mrs. Jessica Susana Ridao Penaflor
- 1000 W Carson St
- Torrance, CA
- Zip : 90502-2004
- Phone : (310) 222-2345
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FAQs
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Is Mrs. Jessica Susana Ridao Penaflor a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 95004141 | CA |
| N | 111NI0900X | Internist | 95004141 | CA |
| N | 363LA2200X | Nurse Practitioner - Adult Health | 95004141 | CA |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 95004141 | CA |
| N | 363LP2300X | Nurse Practitioner - Primary Care | 95004141 | CA |
National Provider Identifier
| NPI | 1063867380 |
|---|---|
| Provider Name | Mrs. Jessica Susana Ridao Penaflor |
| First Address | Torrance, CA 90502-2004 |
| Second Address | Torrance, CA 90502-2004 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2016 |
| Last Update Date | 20/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.