Rodriguez, Gina Lucy

Rodriguez, Gina Lucy is an sole proprietor health care provider with primary practice located at 77 Birch St Ste B , Redwood City CA 94062-1400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Gina Lucy can be contacted via phone (650) 363-6161.

Contact Information

Primary practice address
77 Birch St Ste B Redwood City CA 94062-1400
Phone: (650) 363-6161
Fax: (650) 363-9311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C43050 California

Profile Details

NPI number 1154450989
LBN Legal business name Rodriguez, Gina Lucy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 9th, 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 1154450989 NPPES
California MEDICAID 00C430501

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