Individual
RODRIGO J FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 4TH AVE STE 201, CHULA VISTA, CA 91910-4428
(619) 476-9054
(619) 476-9056
Mailing address
450 4TH AVE STE 201, CHULA VISTA, CA 91910-4428
(619) 476-9054
(619) 476-9056
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A44441
CA
207RN0300X
Nephrology Physician
TL3179
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A444410
—
CA
Enumeration date
10/06/2006
Last updated
08/02/2021
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