Rodricks, Paul

Rodricks, Paul is an individual health care provider with primary practice located at 16311 Ventura Blvd #1280, Encino CA 91436-2124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Rodricks, Paul can be contacted via phone (818) 782-2164.

Contact Information

Primary practice address
16311 Ventura Blvd #1280 Encino CA 91436-2124
Fax: (818) 782-5330
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G84064 California

Profile Details

NPI number 1285771360
LBN Legal business name Rodricks, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 10th, 2010 - about 16 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 1285771360 NPPES
California MEDICAID 1285771360

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