Simpson, Shavontae

Simpson, Shavontae is an individual health care provider with primary practice located at 510 N Prospect Ave Ste 202 , Redondo Beach CA 90277-3030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Simpson, Shavontae can be contacted via phone (310) 318-3010.

Contact Information

Primary practice address
510 N Prospect Ave Ste 202 Redondo Beach CA 90277-3030
Phone: (310) 318-3010
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1689255929
LBN Legal business name Simpson, Shavontae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2021
Last updated Oct 5th, 2022 - 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.

Request for update

Popular Providers