Rendon, Raymond Rudolph
Rendon, Raymond Rudolph is an individual health care provider with primary practice located at 2039 Forest Ave Ste 206 , San Jose CA 95128-4815. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Rendon, Raymond Rudolph can be contacted via phone (408) 297-4850.Contact Information
Primary practice address
2039 Forest Ave Ste 206
San Jose CA 95128-4815
Phone: (408) 297-4850
Fax: (408) 297-0676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X |
Profile Details
| NPI number | 1710097613 |
|---|---|
| LBN Legal business name | Rendon, Raymond Rudolph |
| Credentials | B.C.O. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Mar 5th, 2008 - about 18 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 | 1710097613 | NPPES |
| California | MEDICAID | DXX00008F |
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