Kim, Rhodora Estacio

Kim, Rhodora Estacio is an individual health care provider with primary practice located at 18460 Roscoe Blvd , Northridge CA 91325-4107. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kim, Rhodora Estacio can be contacted via phone (818) 837-5790.

Contact Information

Primary practice address
18460 Roscoe Blvd Northridge CA 91325-4107
Phone: (818) 837-5790
Fax: (818) 998-2506
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A71519 California

Profile Details

NPI number 1750309365
LBN Legal business name Kim, Rhodora Estacio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Apr 15th, 2021 - about 4 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 1750309365 NPPES
California MEDICAID 00A715190

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