Protacio, Rodolfo Baguinguito

Protacio, Rodolfo Baguinguito is an sole proprietor health care provider with primary practice located at 710 S Central Ave Ste 330 , Glendale CA 91204-4647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Protacio, Rodolfo Baguinguito can be contacted via phone (818) 500-8739.

Contact Information

Primary practice address
710 S Central Ave Ste 330 Glendale CA 91204-4647
Fax: (818) 500-0957
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A49837 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A49837 California

Profile Details

NPI number 1154320836
LBN Legal business name Protacio, Rodolfo Baguinguito
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Apr 7th, 2020 - 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 1154320836 NPPES
California MEDICAID 00A498370

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