Individual
DR. JORGE EDUARDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11631 VICTORY BLVD, #101, NORTH HOLLYWOOD, CA 91606-3572
(818) 764-8838
(818) 342-2238
Mailing address
393 E WALNUT ST, PHR GROUP PROVIDER ENROLLMENT UNIT 3RD FL, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A54207
CA
Other
Enumeration date
07/31/2006
Last updated
12/03/2021
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