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Organization
JEANNINE M. RODEMS, MD INC
Active
Organization
JEANNINE M. RODEMS, MD INC
Active
Other names
Santa Cruz Direct Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNINE MARIE RODEMS MD (CEO)
(831) 708-1400
Entity
Organization
Contact information
Practice address
9000 SOQUEL AVE STE 100, SANTA CRUZ, CA 95062-2097
(831) 708-1400
(831) 708-1390
Mailing address
133 MISSION ST STE 220, SANTA CRUZ, CA 95060-3747
(831) 708-1400
(831) 708-1390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G81126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063587376
—
CA
05
—
1376646463
—
CA
Enumeration date
08/24/2018
Last updated
09/25/2026
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