Rydelski, Misty Jan
Rydelski, Misty Jan is an individual health care provider with primary practice located at 1095 Irvine Blvd , Tustin CA 92780-3526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Rydelski, Misty Jan can be contacted via phone (714) 449-4800.Contact Information
Primary practice address
1095 Irvine Blvd
Tustin CA 92780-3526
Phone: (714) 449-4800
Fax: (714) 449-4956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G075535 | California |
Profile Details
| NPI number | 1609889120 |
|---|---|
| LBN Legal business name | Rydelski, Misty Jan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Mar 17th, 2015 - about 9 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 | 1609889120 | NPPES |
| California | MEDICAID | G75535 |
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