Individual
STEVEN E RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11230 SORRENTO VALLEY RD STE 135, SAN DIEGO, CA 92121
(858) 450-6650
(858) 450-6651
Mailing address
11230 SORRENTO VALLEY RD STE 135, SAN DIEGO, CA 92121
(858) 450-6650
(858) 450-6651
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20A6389
CA
2084P0802X
Addiction Psychiatry Physician
Primary
20A6389
CA
2084P0804X
Child & Adolescent Psychiatry Physician
2046389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6389
LICENSE
CA
Enumeration date
02/02/2007
Last updated
03/07/2023
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