Individual
DR. JUAN CARLOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3955 BONITA RD, BUILDING E, BONITA, CA 91902-1230
(619) 409-6517
(619) 409-6541
Mailing address
3955 BONITA RD, BUILDING E, BONITA, CA 91902-1230
(800) 290-5000
(619) 409-6541
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A76332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A76332
MD LICENSE
CA
Enumeration date
01/27/2006
Last updated
11/30/2021
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