MEDICARE: JJ RODRIGUEZ M D INC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1851560593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JJ RODRIGUEZ M D INC

Provider Business Mailing Address
First Line	:	PO BOX 4259
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-4259
Country	:	US
Telephone Number	:	562-407-2080
Fax Number	:	562-407-2082

Provider Business Practice Location Address
First Line	:	10921 CHERRY ST
Second Line	:	100
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-2473
Country	:	US
Telephone Number	:	562-795-5600
Fax Number	:	562-795-5602

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JUAN J RODRIGUEZ
Credential	:	M.D.
Telephone Number	:	949-677-7257

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	01/30/2025

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