Derayunan, Rosan Mendoza
Derayunan, Rosan Mendoza is an individual health care provider with primary practice located at 1720 E Los Angeles Ave Ste 231 , Simi Valley CA 93065-5813. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Derayunan, Rosan Mendoza can be contacted via phone (805) 980-7574.Contact Information
Primary practice address
1720 E Los Angeles Ave Ste 231
Simi Valley CA 93065-5813
Phone: (805) 980-7574
Fax: (805) 426-8781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95018575 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95018575 | California |
Profile Details
| NPI number | 1740942481 |
|---|---|
| LBN Legal business name | Derayunan, Rosan Mendoza |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2021 |
| Last updated | Mar 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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