Smith, Roselyn Rodriguez
Smith, Roselyn Rodriguez is an individual health care provider with primary practice located at 1520 Nutmeg Pl Ste 101 , Costa Mesa CA 92626-2557. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Smith, Roselyn Rodriguez can be contacted via phone (714) 922-4194.Contact Information
Primary practice address
1520 Nutmeg Pl Ste 101
Costa Mesa CA 92626-2557
Phone: (714) 922-4194
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA12383 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA12383 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA12383 | California |
Profile Details
| NPI number | 1649464397 |
|---|---|
| LBN Legal business name | Smith, Roselyn Rodriguez |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2007 |
| Last updated | Jul 5th, 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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