Rodriguez, David Jose Granados

Rodriguez, David Jose Granados is an sole proprietor health care provider with primary practice located at 625 Garnet St , Imperial CA 92251-2516. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Rodriguez, David Jose Granados can be contacted via phone (760) 457-1491.

Contact Information

Primary practice address
625 Garnet St Imperial CA 92251-2516
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95023930 California

Profile Details

NPI number 1609650472
LBN Legal business name Rodriguez, David Jose Granados
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2023
Last updated Aug 23rd, 2023 - about last year

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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