MEDICARE: DR. SANDRA Y RODRIGUEZ DDS

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	1223G0001X	General Practice Dentistry	61052	CA

General Provider Information

NPI Number	:	1558631234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA Y RODRIGUEZ DDS

Provider Business Mailing Address
First Line	:	2700 PETERSON PL
Second Line	:	UNIT 49B
City	:	COSTA MESA
State	:	CA
Zip	:	92626-5300
Country	:	US
Telephone Number	:	773-426-6598
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 PETERSON PL
Second Line	:	UNIT 49B
City	:	COSTA MESA
State	:	CA
Zip	:	92626-5300
Country	:	US
Telephone Number	:	773-426-6598
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	01/11/2012

Similar Medicare Providers

1134117666 — FT. WORTH SOUTHWEST NURSING CENTER, LLC
Practice Location Address:

5300 ALTA MESA BLVD
FORT WORTH, TX
76133-5924

Practice Phone: 817-346-1800
Practice Fax: 817-346-0149

1619122686 — MRS. CHERYL WALSH PICKERING MSW, LSCSW
Practice Location Address:

8865 E BASELINE RD # 100
MESA, AZ
85209-5300

Practice Phone: 620-262-1900
Practice Fax: 620-262-1900

1962806992 — AMANDA SUE DANTES PPS
Practice Location Address:

5300 JACKSON DR
LA MESA, CA
91942-6014

Practice Phone: 619-303-4344
Practice Fax:

1578448494 — JULIAN CHARTER SCHOOL, LNC.
Practice Location Address:

5300 JACKSON DR
LA MESA, CA
91942-6014

Practice Phone: 619-303-4344
Practice Fax:

1659219608 — JULIETTE GOMEZ
Practice Location Address:

3186 AIRWAY AVE STE A
COSTA MESA, CA
92626-4650

Practice Phone: 714-881-0427
Practice Fax:

1740731702 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

3333 BRISTOL ST STE 6000
COSTA MESA, CA
92626-1830

Practice Phone: 714-754-1869
Practice Fax:

Directions to “ DR. SANDRA Y RODRIGUEZ DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.