Organization
JOSEPH H. RODD M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH H RODD M.D. (PRESIDENT)
(310) 329-2170
Entity
Organization
Contact information
Practice address
20710 S. LEAPWOOD AVE., SUITE B, CARSON, CA 90746
(310) 329-2170
(310) 329-9026
Mailing address
20710 S. LEAPWOOD AVE., SUITE B, CARSON, CA 90746
(310) 329-2170
(310) 329-9026
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
A40130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A40130
MEDICARE PROVIDER PTAN #
CA
Enumeration date
07/13/2012
Last updated
07/13/2012
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