Grijalva, Rita Marie
Grijalva, Rita Marie is an sole proprietor health care provider with primary practice located at 1771 W Romneya Dr Ste C, Anaheim CA 92801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grijalva, Rita Marie can be contacted via phone (714) 520-3000.Contact Information
Primary practice address
1771 W Romneya Dr Ste C
Anaheim CA 92801
Phone: (714) 520-3000
Fax: (714) 520-5742
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 12425 | California |
Profile Details
| NPI number | 1568423317 |
|---|---|
| LBN Legal business name | Grijalva, Rita Marie |
| Credentials | Registered Nurse Practitioner (RNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Mar 14th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568423317 | NPPES |
| California | MEDICAID | GR0095540 |
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