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Organization

ELIAS S RODRIGUEZ MD

Active
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Organization

ELIAS S RODRIGUEZ MD

Active
Parent organization
RIO DEL MAR MEDICAL CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIO DEL MAR MEDICAL CLINIC
Authorized official
DR. ELIAS S RODRIGUEZ MD (OWNER)
(831) 722-4016
Entity
Organization

Contact information

Practice address
622 E ALISAL ST, SUITE 1, SALINAS, CA 93905-2668
(831) 757-6191
(831) 757-0251
Mailing address
10 W 5TH ST, WATSONVILLE, CA 95076-4202
(831) 722-4016
(831) 722-7756

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G77669
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ19447Z
MEDICARE GROUP
CA
Enumeration date
09/19/2014
Last updated
09/19/2014
About Stedi
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