Individual
MARIA A. RODRIGUEZ BALLESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 SAMARITAN DR STE 105, SAN JOSE, CA 95124-3910
(408) 523-3870
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(408) 523-3870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
38711
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
A128978
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387110
—
SC
Enumeration date
06/21/2011
Last updated
06/08/2020
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