Rodriguez, Gilberto
Rodriguez, Gilberto is an sole proprietor health care provider with primary practice located at 43520 Division Street , Lancaster CA 93535. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Rodriguez, Gilberto can be contacted via phone (661) 266-4783.Contact Information
Primary practice address
43520 Division Street
Lancaster CA 93535
Phone: (661) 266-4783
Fax: (661) 266-1210
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Community Health Worker | 172V00000X | ||
Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
NPI number | 1477807618 |
---|---|
LBN Legal business name | Rodriguez, Gilberto |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2012 |
Last updated | Apr 25th, 2024 - about 8 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477807618 | NPPES |
California | Other | #95-2633765 | MEDI-CAL |
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