Rodriguez, Dominic

Rodriguez, Dominic is an individual health care provider with primary practice located at 4647 Zion Ave , San Diego CA 92120-2507. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care, which is considered as his primary health care specialty. Rodriguez, Dominic can be contacted via phone (619) 528-7003.

Contact Information

Primary practice address
4647 Zion Ave San Diego CA 92120-2507
Phone: (619) 528-7003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care 2279G1100X 31994 California

Profile Details

NPI number 1578043782
LBN Legal business name Rodriguez, Dominic
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2018
Last updated Aug 16th, 2018 - about 6 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 1578043782 NPPES
California Other B5301251 DRIVER LIC
California Other 31994 DRIVER LIC

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