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Individual
DR. SERGIO ULISES RODAS
Active
Individual
DR. SERGIO ULISES RODAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G55286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G552860
MEDICAL
CA
01
—
00G552860B12
CALOPTIMA
CA
Enumeration date
02/16/2007
Last updated
03/14/2017
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