ROXANNE PAULETTE PARKER NPI 1457522666

NPI Information

NPI: 1457522666
Provider Name: ROXANNE PAULETTE PARKER
Classification: Clinic/Center - 261QR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
6154 MISSION GORGE RD
120
SAN DIEGO, CA
ZIP 92120
Phone: (619) 285-1718
Get Directions

Roxanne Paulette Parker is a rehabilitation clinic center in San Diego, CA. Roxanne Paulette Parker NPI is 1457522666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6154 MISSION GORGE RD
120
SAN DIEGO, CA
ZIP 92120-493
Phone: (619) 285-1718
Fax: (619) 285-3803

The enumeration date for this NPI number is 3/14/2008 and was last updated on 3/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation	261QR0405X	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37AL	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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