Individual provider · Type 1 NPI

Leslie Lim Rudolph, PA-C

Physician Assistant · Newport Beach, CA

NPI number 1558809095 Active

Practice location

1525 Superior Ave, Suite 214
Newport Beach, CA 92663-3639

Call (949) 722-7902 Map

Fax (949) 722-7903

Mailing address

PO Box 7469
Huntington Beach, CA 92615-7469

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14530 (CA)
Medical Physician Assistant 363AM0700X14530 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1558809095

Leslie Lim Rudolph, PA-C's National Provider Identifier is 1558809095, issued on Feb 4, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newport Beach, CA. The record was last updated on Feb 4, 2017.