Petersen, Regina Lynn

Petersen, Regina Lynn is an individual health care provider with primary practice located at 477 N El Camino Real , Encinitas CA 92024-1328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Petersen, Regina Lynn can be contacted via phone (800) 727-4777.

Contact Information

Primary practice address
477 N El Camino Real Encinitas CA 92024-1328
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16911 California

Profile Details

NPI number 1770721714
LBN Legal business name Petersen, Regina Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2009
Last updated Nov 24th, 2025 - about last year

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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