Derayunan, Rosan Mendoza

Derayunan, Rosan Mendoza is an individual health care provider with primary practice located at 1720 E Los Angeles Ave Ste 231 , Simi Valley CA 93065-5813. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Derayunan, Rosan Mendoza can be contacted via phone (805) 980-7574.

Contact Information

Primary practice address
1720 E Los Angeles Ave Ste 231 Simi Valley CA 93065-5813
Phone: (805) 980-7574
Fax: (805) 426-8781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95018575 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95018575 California

Profile Details

NPI number 1740942481
LBN Legal business name Derayunan, Rosan Mendoza
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2021
Last updated Mar 4th, 2023 - 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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