| Rodney L. Cobb | |
|
818 W Alondra Blvd Compton CA 90220-3500 | |
| (310) 632-2113 | |
| (310) 632-0047 |
| Full Name | Rodney L. Cobb |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 818 W Alondra Blvd, Compton, California |
| Authorized Official Name and Position | Rodney Lamont Cobb (DENTIST/OWNER) |
| Authorized Official Contact | 3106322113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney L. Cobb 818 W Alondra Blvd Compton CA 90220-3500 Ph: (310) 632-2113 | Rodney L. Cobb 818 W Alondra Blvd Compton CA 90220-3500 Ph: (310) 632-2113 |
| NPI Number | 1598113789 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598113789 | NPI | - | NPPES |
| 1457548810 | Medicaid | CA | |
| 1912281700 | Medicaid | CA | |
| 1588732218 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38978 (California) | Primary |
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