Gamboa, Rodimiro Desi
Gamboa, Rodimiro Desi is an sole proprietor health care provider with primary practice located at 2808 Roosevelt St Suite 102, Carlsbad CA 92008-1688. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gamboa, Rodimiro Desi can be contacted via phone (760) 729-0252.Contact Information
Primary practice address
2808 Roosevelt St Suite 102
Carlsbad CA 92008-1688
Phone: (760) 729-0252
Fax: (760) 730-9911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC20468 | California |
Profile Details
| NPI number | 1578503587 |
|---|---|
| LBN Legal business name | Gamboa, Rodimiro Desi |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Apr 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578503587 | NPPES |
| California | Other | DC20468 | STATE LICENSE |
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