Rodriguez, Jose Antonio

Rodriguez, Jose Antonio is an individual health care provider with primary practice located at 7965 Sierra Ave Ste E , Fontana CA 92336-3329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rodriguez, Jose Antonio can be contacted via phone (909) 356-4459.

Contact Information

Primary practice address
7965 Sierra Ave Ste E Fontana CA 92336-3329
Phone: (909) 356-4459
Fax: (909) 355-4261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A78410 California

Profile Details

NPI number 1508829185
LBN Legal business name Rodriguez, Jose Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 8th, 2022 - about 2 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 1508829185 NPPES
California Other CA118228 PECOS
California MEDICAID 1508829185 PECOS

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