Organization
CALIFORNIA PRIMARY HEALTH CARE CORP
Active
Other names
Rodolfo B Protacio MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALINDA VALMEO PROTACIO NP (OFFICE MANAGER)
(818) 395-7311
Entity
Organization
Contact information
Practice address
710 S. CENTRAL AVENUE, SUITE 340, GLENDALE, CA 91204-4647
(818) 500-8739
(818) 500-0957
Mailing address
710 S. CENTRAL AVENUE, SUITE 340, GLENDALE, CA 91204-4647
(818) 500-8739
(818) 500-0957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A049837
—
CA
Enumeration date
07/01/2008
Last updated
09/21/2023
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