Individual
DAVID LEONARD RODIBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 N TUSTIN AVE, SANTA ANA, CA 92705-3509
(714) 835-6055
(714) 835-3287
Mailing address
1 SAINT RAPHAEL, LAGUNA NIGUEL, CA 92677-2761
(714) 835-3709
(714) 835-3287
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
C33122
CA
2085N0700X
Neuroradiology Physician
C33122
CA
2085R0202X
Diagnostic Radiology Physician
Primary
C33122
CA
2085R0204X
Vascular & Interventional Radiology Physician
C33122
CA
2085U0001X
Diagnostic Ultrasound Physician
C33122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C331220
—
CA
Enumeration date
06/11/2006
Last updated
05/09/2014
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