Pidoux, Rene E
Pidoux, Rene E is an individual health care provider with primary practice located at 544 N Glendale Ave Ste B , Glendale CA 91206-3311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pidoux, Rene E can be contacted via phone (747) 212-3441.Contact Information
Primary practice address
544 N Glendale Ave Ste B
Glendale CA 91206-3311
Phone: (747) 212-3441
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A25274 | California |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | A25274 | California |
Profile Details
NPI number | 1639138001 |
---|---|
LBN Legal business name | Pidoux, Rene E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Jan 26th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639138001 | NPPES |
California | MEDICAID | OOA252740 |
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