Rodriguez, George J

Rodriguez, George J is an individual health care provider with primary practice located at 1415 Ross Ave , El Centro CA 99243-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rodriguez, George J can be contacted via phone (760) 339-7254.

Contact Information

Primary practice address
1415 Ross Ave El Centro CA 99243-4306
Phone: (760) 339-7254
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G44901 California

Profile Details

NPI number 1710940077
LBN Legal business name Rodriguez, George J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jan 28th, 2009 - about 15 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 1710940077 NPPES
California MEDICAID OOG449010

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