Rodriguez, Dora Elva

Rodriguez, Dora Elva is an individual health care provider with primary practice located at 1995 Zinfandel Dr Suite 105, Rancho Cordova CA 95670-2862. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rodriguez, Dora Elva can be contacted via phone (916) 638-4000.

Contact Information

Primary practice address
1995 Zinfandel Dr Suite 105 Rancho Cordova CA 95670-2862
Fax: (916) 638-0745
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 16135 California

Profile Details

NPI number 1962453902
LBN Legal business name Rodriguez, Dora Elva
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1962453902 NPPES
California Other PA16135 CALIFORNIA LICENSE NUMBER

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