Individual
DR. ESEQUIEL RODRIGUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 VALLEY CHILDRENS PL # 16, MADERA, CA 93636-8761
(559) 353-6195
(559) 353-6196
Mailing address
9300 VALLEY CHILDRENS PL # 16, MADERA, CA 93636-8761
(559) 353-6195
(559) 353-6196
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A80459
CA
2088P0231X
Pediatric Urology Physician
Primary
A80459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A804590
BLUE SHIELD
CA
Enumeration date
06/08/2006
Last updated
03/09/2020
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