MEDICARE: R & R CLINICAL & MEDICAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	A56502	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A565020	OTHER	CA	INSURANCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255471868
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & R CLINICAL & MEDICAL CORP

Provider Business Mailing Address
First Line	:	1403 N FAIR OAKS AVE
Second Line	:	SUITE 3
City	:	PASADENA
State	:	CA
Zip	:	91103-1858
Country	:	US
Telephone Number	:	626-398-0354
Fax Number	:	626-398-0357

Provider Business Practice Location Address
First Line	:	1403 N FAIR OAKS AVE
Second Line	:	SUITE 3
City	:	PASADENA
State	:	CA
Zip	:	91103-1858
Country	:	US
Telephone Number	:	626-398-0354
Fax Number	:	626-398-0357

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CARLOS RODRIGUEZ
Credential	:	MD
Telephone Number	:	626-398-0354

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	03/03/2020

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Directions to “R & R CLINICAL & MEDICAL CORP ” Practice Location

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