Basic Information
| Provider Information | |||||||||
| NPI: | 1932444395 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RHOTON | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | JUNE | ||||||||
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| Credential: | N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 360 SAN MIGUEL DR | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926607853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497608300 | ||||||||
| FaxNumber: | 9497608316 | ||||||||
| Practice Location | |||||||||
| Address1: | 360 SAN MIGUEL DR | ||||||||
| Address2: | SUITE 107 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926607853 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497608300 | ||||||||
| FaxNumber: | 9497608316 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2012 | ||||||||
| LastUpdateDate: | 07/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 792218 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.