Individual
ROSENDO SO-ROSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7600
Mailing address
2350 W EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A81804
CA
207RX0202X
Medical Oncology Physician
Primary
A81804
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A81804
MEDICAL LICENSE
CA
Enumeration date
07/09/2006
Last updated
12/15/2021
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