Moridzadeh, Roxanna
Moridzadeh, Roxanna is an individual health care provider with primary practice located at 1640 Newport Blvd Ste 100 , Costa Mesa CA 92627-3786. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moridzadeh, Roxanna can be contacted via phone (714) 456-8888.Contact Information
Primary practice address
1640 Newport Blvd Ste 100
Costa Mesa CA 92627-3786
Phone: (714) 456-8888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA57145 | California |
Profile Details
| NPI number | 1124679808 |
|---|---|
| LBN Legal business name | Moridzadeh, Roxanna |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2019 |
| Last updated | Oct 31st, 2024 - about 2 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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