Penaflor, Jessica Susana Ridao

Penaflor, Jessica Susana Ridao is an sole proprietor health care provider with primary practice located at 1000 W Carson St , Torrance CA 90502-2004. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Penaflor, Jessica Susana Ridao can be contacted via phone (310) 222-2345.

Contact Information

Primary practice address
1000 W Carson St Torrance CA 90502-2004
Phone: (310) 222-2345
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 95004141 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95004141 California
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95004141 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95004141 California

Profile Details

NPI number 1063867380
LBN Legal business name Penaflor, Jessica Susana Ridao
Credentials AGNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2016
Last updated Jan 20th, 2018 - about 6 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.

Request for update

Popular Providers