Individual
JESSICA RENDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17772 BEACH BLVD, HUNTINGTON BEACH, CA 92647-6819
(714) 843-5011
Mailing address
15642 SAND CANYON AVE, PO BOX #51142, IRVINE, CA 92619
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A147784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194130906
—
CA
01
—
A147784
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
07/01/2014
Last updated
06/09/2021
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