Individual
DR. OMAR RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 29TH ST STE 480, SACRAMENTO, CA 95816-5173
(916) 733-3777
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
268547
NY
2080P0202X
Pediatric Cardiology Physician
R-09949
IA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A167757
CA
Other
Enumeration date
06/23/2010
Last updated
12/03/2024
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