Coburn, Rodrick Lashonn

Coburn, Rodrick Lashonn is an individual health care provider with primary practice located at 11445 Ghiberti Way , Porter Ranch CA 91326-4084. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Coburn, Rodrick Lashonn can be contacted via phone (818) 422-2595.

Contact Information

Primary practice address
11445 Ghiberti Way Porter Ranch CA 91326-4084
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA18361 California

Profile Details

NPI number 1205847290
LBN Legal business name Coburn, Rodrick Lashonn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 27th, 2016 - 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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