Picazo, Rodolfo Hernandez

Picazo, Rodolfo Hernandez is an sole proprietor health care provider with primary practice located at 1436 Highland Ave , National City CA 91950-4624. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Picazo, Rodolfo Hernandez can be contacted via phone (619) 474-7417.

Contact Information

Primary practice address
1436 Highland Ave National City CA 91950-4624
Phone: (619) 474-7417
Fax: (619) 474-4540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 27186 California
Dental Providers / General Practice 1223G0001X 27186 California

Profile Details

NPI number 1437299021
LBN Legal business name Picazo, Rodolfo Hernandez
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1437299021 NPPES
California Other B27186-01 DENTICAL

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