Radoff, Susan
Radoff, Susan is an individual health care provider with primary practice located at 3910 Vista Way Ste 106 , Oceanside CA 92056-4513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Radoff, Susan can be contacted via phone (760) 941-2000.Contact Information
Primary practice address
3910 Vista Way Ste 106
Oceanside CA 92056-4513
Phone: (760) 941-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 19822 | California |
Profile Details
| NPI number | 1346306123 |
|---|---|
| LBN Legal business name | Radoff, Susan |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jun 7th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346306123 | NPPES |
| Texas | Other | 8Y1603 | BCBS |
| Texas | MEDICAID | 189749801 | BCBS |
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