| Richard Rodriguez MD, Inc. | |
|
15 Macarthur Pl Unit 1408 Santa Ana CA 92707-6766 | |
| (661) 496-5950 | |
| Not Available |
| Full Name | Richard Rodriguez MD, Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 15 Macarthur Pl Unit 1408, Santa Ana, California |
| Authorized Official Name and Position | Richard Rodriguez (OWNER) |
| Authorized Official Contact | 6614965950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Rodriguez MD, Inc. 15 Macarthur Pl Unit 1408 Santa Ana CA 92707-6766 Ph: (661) 496-5950 | Richard Rodriguez MD, Inc. 15 Macarthur Pl Unit 1408 Santa Ana CA 92707-6766 Ph: (661) 496-5950 |
| NPI Number | 1962247791 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962247791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| 305S00000X | Point Of Service | () | Secondary |
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