Rodriguez, Jorge

Rodriguez, Jorge is an individual health care provider with primary practice located at 12264 El Camino Real Suite 101, San Diego CA 92130-3060. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Rodriguez, Jorge can be contacted via phone (858) 847-0800.

Contact Information

Primary practice address
12264 El Camino Real Suite 101 San Diego CA 92130-3060
Phone: (858) 847-0800
Fax: (858) 724-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 050842 California

Profile Details

NPI number 1992989131
LBN Legal business name Rodriguez, Jorge
Credentials O.T.C./C.S.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 24th, 2007
Last updated Dec 24th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992989131 NPPES
California Other 050842 OTC CERTIFICATION

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