Protacio, Rodolfo Baguinguito
Protacio, Rodolfo Baguinguito is an sole proprietor health care provider with primary practice located at 1500 S Central Ave Ste 108 , Glendale CA 91204-2785. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Protacio, Rodolfo Baguinguito can be contacted via phone (818) 500-8739.Contact Information
Primary practice address
1500 S Central Ave Ste 108
Glendale CA 91204-2785
Phone: (818) 500-8739
Fax: (818) 500-0957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A49837 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A049837 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A49837 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A49873 | California |
Profile Details
| NPI number | 1154320836 |
|---|---|
| LBN Legal business name | Protacio, Rodolfo Baguinguito |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Apr 24th, 2025 - about last year |
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 | 1154320836 | NPPES |
| California | MEDICAID | 00A498370 |
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