Agbunag, Rodolfo Ventura
Agbunag, Rodolfo Ventura is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Agbunag, Rodolfo Ventura can be contacted via phone (209) 550-4788.Contact Information
Primary practice address
1409 E Briggsmore Ave
Modesto CA 95355-2707
Phone: (209) 550-4788
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | A67171 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A67171 | California |
Profile Details
| NPI number | 1316995111 |
|---|---|
| LBN Legal business name | Agbunag, Rodolfo Ventura |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Dec 8th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316995111 | NPPES |
| California | MEDICAID | 00A671710 |
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