Individual
CRESPIN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-1690
Mailing address
13651 WILLARD STREET, PANORAMA CITY, CA 91402-5423
(818) 375-1690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21079
CA
Other
Enumeration date
12/08/2006
Last updated
02/19/2014
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