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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1992989131 | NPPES |
| California | Other | 050842 | OTC CERTIFICATION |
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