Individual
DR. JAVIER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT, SAN DIEGO, CA 92105-1608
(619) 255-9154
(619) 795-9847
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
(619) 280-3545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A82639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25622
THE AMERICAN BOARD OF PEDIATRICS
—
Enumeration date
02/13/2007
Last updated
03/27/2023
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