Organization
RODOLFO A MORALES M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODOLFO ANTONIA MORALES M. D. (OWNER)
(408) 559-1011
Entity
Organization
Contact information
Practice address
3803 S BASCOM AVE, SUITE 102B, CAMPBELL, CA 95008-7317
(408) 559-1011
(408) 559-1191
Mailing address
3803 S BASCOM AVE, SUITE 102B, CAMPBELL, CA 95008-7317
(408) 559-1011
(408) 559-1191
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C38251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C382510
—
CA
01
—
EC382570
CHAMPUS
CA
01
—
HC382510
HMO
CA
01
—
PC382510
PPO
CA
Enumeration date
03/03/2011
Last updated
03/03/2011
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