Pezina, Angelita

Pezina, Angelita is an individual health care provider with primary practice located at 1629 W 17Th St Suite A, Santa Ana CA 92706-3335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Pezina, Angelita can be contacted via phone (714) 972-2111.

Contact Information

Primary practice address
1629 W 17Th St Suite A Santa Ana CA 92706-3335
Fax: (714) 972-2045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207VH0002X 294147 California

Profile Details

NPI number 1487876124
LBN Legal business name Pezina, Angelita
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 9th, 2007 - about 19 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 1487876124 NPPES
California MEDICAID RN294147

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