Jaikumar, Suguna
Jaikumar, Suguna is an individual health care provider with primary practice located at 2079 Compton Ave Ste 102 , Corona CA 92881-7292. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Other Service Providers / Health Educator. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Jaikumar, Suguna can be contacted via phone (951) 735-9599.Contact Information
Primary practice address
2079 Compton Ave Ste 102
Corona CA 92881-7292
Phone: (951) 735-9599
Fax: (951) 935-7585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95002785 | California |
| Other Service Providers / Health Educator | 174H00000X | 506974 | California |
Profile Details
| NPI number | 1649606914 |
|---|---|
| LBN Legal business name | Jaikumar, Suguna |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2013 |
| Last updated | Sep 15th, 2015 - about 11 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 | 1649606914 | NPPES |
| California | Other | 506974 | RN LICENSE |
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