Rodriguez, Kristin M

Rodriguez, Kristin M is an individual health care provider with primary practice located at 1301 Rose Drive , Placentia CA 92870. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Rodriguez, Kristin M can be contacted via phone (714) 993-2000.

Contact Information

Primary practice address
1301 Rose Drive Placentia CA 92870
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 20A6961 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OP61224612 Washington

Profile Details

NPI number 1205880598
LBN Legal business name Rodriguez, Kristin M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 23rd, 2023 - 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 1205880598 NPPES
California MEDICAID 00AX69610

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