Organization
MD SENIOR CARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HERNANDEZ-RODRIGUEZ MD (PRESIDENT)
(951) 956-2131
Entity
Organization
Contact information
Practice address
99 BUSINESS PARK DR, PERRIS, CA 92571-3165
(951) 956-2131
Mailing address
99 BUSINESS PARK DR, PERRIS, CA 92571-3165
(951) 956-2131
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/15/2022
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