Individual
JENNIFER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1190 BAKER ST, 103, COSTA MESA, CA 92626-4108
(714) 668-2525
(714) 668-2530
Mailing address
PO BOX 3649, NEWPORT BEACH, CA 92659-8649
(714) 668-2525
(714) 668-2530
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G52113
CA
Other
Enumeration date
06/02/2006
Last updated
01/21/2010
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