Individual
MS. RITA K NIJJAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
275 VICTORIA ST, SUITE 1H, COSTA MESA, CA 92627-1906
(949) 646-2311
(949) 646-1064
Mailing address
275 VICTORIA ST, SUITE 1H, COSTA MESA, CA 92627-1906
(949) 646-2311
(949) 646-1064
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA17540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA17540
PA LICENSE
CA
Enumeration date
11/27/2006
Last updated
07/08/2007
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