Individual provider · Type 1 NPI
Jacquelyn Rebosa
Primary Care Nurse Practitioner · Costa Mesa, CA
NPI number
1174486146
Active
Practice location
3313 Hyland Ave
Costa Mesa, CA 92626-1550
Mailing address
2727 E Cornwall St
Ontario, CA 91761-7947
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95033794 (CA) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Costa Mesa
About NPI 1174486146
Jacquelyn Rebosa's National Provider Identifier is 1174486146, issued on Dec 6, 2025. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 6, 2025.