Individual
SHIJI JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
200 S MANCHESTER AVE STE 300, ORANGE, CA 92868-3219
(714) 456-8888
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP95014721
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
678424
BOARD OF REGISTERED NURSES, LICENCE
CA
Enumeration date
10/14/2020
Last updated
08/01/2024
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