Arcovedo, Rodolfo

Arcovedo, Rodolfo is an individual health care provider with primary practice located at 786 3Rd Ave #B, Chula Vista CA 91910-5826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Arcovedo, Rodolfo can be contacted via phone (619) 425-0797.

Contact Information

Primary practice address
786 3Rd Ave #B Chula Vista CA 91910-5826
Phone: (619) 425-0797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C51718 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 651718 California

Profile Details

NPI number 1225018880
LBN Legal business name Arcovedo, Rodolfo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 5th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225018880 NPPES
California Other 33-0618203 TAX IDENTIFICATION
California Other GROO62500 TAX IDENTIFICATION
California MEDICAID 00C51718 TAX IDENTIFICATION

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