Petrikas, Regina M

Petrikas, Regina M is an individual health care provider with primary practice located at 4305 Torrance Blvd Ste 106 , Torrance CA 90503-4400. 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. Petrikas, Regina M can be contacted via phone (310) 542-9758.

Contact Information

Primary practice address
4305 Torrance Blvd Ste 106 Torrance CA 90503-4400
Phone: (310) 542-9758
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP9207 California

Profile Details

NPI number 1548296650
LBN Legal business name Petrikas, Regina M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 5th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548296650 NPPES
California MEDICAID RN407621

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