Individual
MR. RODOLFO ANTONIO MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3803 S BASCOM AVE, STE 102, CAMPBELL, CA 95008-7319
(408) 559-1018
(408) 371-3025
Mailing address
3803 S BASCOM AVE, STE 102, CAMPBELL, CA 95008-7319
(408) 559-1018
(408) 371-3025
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C38251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C382510
—
CA
01
—
EC382570
CHAMPUS
—
01
—
HC382510
HMO
—
01
—
OOG48808
MEDI CAL
—
01
—
PC382510
PPO
—
Enumeration date
06/21/2006
Last updated
07/08/2007
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