Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Susana Ridao Penaflor, AGNP-C

Individual provider Internal Medicine Physician · NPI 1063867380

Mrs. Jessica Susana Ridao Penaflor, AGNP-C is an Internal Medicine Physician in Torrance, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

1000 W Carson St
Torrance, CA 90502-2004
Phone: (310) 222-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 95004141 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 95004141 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95004141 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95004141 (CA)

Record details

NPI number1063867380
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedApril 25, 2016
Last updated in NPPESJanuary 20, 2018

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