Rodriguez, Rebeccah Rhenae

Rodriguez, Rebeccah Rhenae is an individual health care provider with primary practice located at 4010 Sorrento Valley Blvd Suite 300, San Diego CA 92121-1432. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Rodriguez, Rebeccah Rhenae can be contacted via phone (858) 793-7860.

Contact Information

Primary practice address
4010 Sorrento Valley Blvd Suite 300 San Diego CA 92121-1432
Phone: (858) 793-7860
Fax: (858) 436-1289
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4720 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A10913 California

Profile Details

NPI number 1922288802
LBN Legal business name Rodriguez, Rebeccah Rhenae
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Apr 10th, 2020 - about 6 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 1922288802 NPPES
California Other EB240Z INDIVIDUAL PTAN
California Other W12026 INDIVIDUAL PTAN

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