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Organization
MARK J RODRIGUES MD INC
Active
Organization
MARK J RODRIGUES MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J RODRIGUES M.D. (PRESIDENT)
(714) 245-9933
Entity
Organization
Contact information
Practice address
1140 W LA VETA AVE STE 470, ORANGE, CA 92868-4200
(714) 245-9933
(714) 245-9923
Mailing address
1140 W LA VETA AVE STE 470, ORANGE, CA 92868-4200
(714) 245-9933
(714) 245-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A46340
CA
207RP1001X
Pulmonary Disease Physician
A46340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A463400
—
CA
Enumeration date
04/22/2009
Last updated
04/27/2009
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