Healthcare Provider Details

I. General information

NPI: 1104868124
Provider Name (Legal Business Name): RODNEY STRACHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 06/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 W LA VETA AVE SUITE 270
ORANGE CA
92868
US

IV. Provider business mailing address

4347 PORTAGE ST NW STE 102
NORTH CANTON OH
44720-7371
US

V. Phone/Fax

Practice location:
  • Phone: 714-744-0900
  • Fax:
Mailing address:
  • Phone: 714-973-2650
  • Fax: 714-973-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberG48297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: