SearchCalifornia363A00000X

Leslie Rudolph, PA-C

NPI 1558809095 · on the registry since 2017

Practice

Address
1525 Superior Ave
Suite 214
Newport Beach, CA 92663
Phone
(949) 722-7902
Fax
(949) 722-7903
Organisation at this address
Taproot Healing, Inc
Saeed Eshraghi, M.D. Inc.
Donald R. Abrahm M.D., Inc
Matrix Rehabilitation, Inc.
Deguzman Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California