Rodriguez, Jose Luis

Rodriguez, Jose Luis is an individual health care provider with primary practice located at 255 E Bonita Ave Building #9, Pomona CA 91767-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Rodriguez, Jose Luis can be contacted via phone (909) 450-0369.

Contact Information

Primary practice address
255 E Bonita Ave Building #9 Pomona CA 91767-1923
Phone: (909) 450-0369
Fax: (909) 450-0366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G49547 California

Profile Details

NPI number 1235115072
LBN Legal business name Rodriguez, Jose Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235115072 NPPES
California MEDICAID GR0099730

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