Rodriguez, Jorge A.

Rodriguez, Jorge A. is an sole proprietor health care provider with primary practice located at 13652 Cantara St , Panorama City CA 91402-5423. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Rodriguez, Jorge A. can be contacted via phone (818) 375-2000.

Contact Information

Primary practice address
13652 Cantara St Panorama City CA 91402-5423
Phone: (818) 375-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 108535 California

Profile Details

NPI number 1770783466
LBN Legal business name Rodriguez, Jorge A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2007
Last updated Dec 2nd, 2021 - about 4 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 1770783466 NPPES
California MEDICAID 1770783466

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