Fernandez, Rodrigo J

Fernandez, Rodrigo J is an sole proprietor health care provider with primary practice located at 450 4Th Ave Ste 201 , Chula Vista CA 91910-4428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fernandez, Rodrigo J can be contacted via phone (619) 476-9054.

Contact Information

Primary practice address
450 4Th Ave Ste 201 Chula Vista CA 91910-4428
Phone: (619) 476-9054
Fax: (619) 476-9056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X TL3179 Wyoming
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A44441 California

Profile Details

NPI number 1366539793
LBN Legal business name Fernandez, Rodrigo J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366539793 NPPES
California MEDICAID 00A444410

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