Rodriguez, Javier

Rodriguez, Javier is an sole proprietor health care provider with primary practice located at 1617 E 1St St Ste A , Santa Ana CA 92701-6385. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rodriguez, Javier can be contacted via phone (714) 246-0000.

Contact Information

Primary practice address
1617 E 1St St Ste A Santa Ana CA 92701-6385
Phone: (714) 246-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 19041 California

Profile Details

NPI number 1174729040
LBN Legal business name Rodriguez, Javier
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2007
Last updated Nov 30th, 2011 - about 14 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 1174729040 NPPES
California MEDICAID 1174729040
California Other 1538367115

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