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General NPI Number Information
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NPI Number | 1851560593
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Entity Type | Organization
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Legal Business Name | JJ RODRIGUEZ M D INC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 10921 CHERRY ST 100
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2473
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Country | US
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Telephone | 562-795-5600
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Fax | 562-795-5602
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Provider Business Mailing Address
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Address Line | PO BOX 4259
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City | CERRITOS
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State | CA
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Zip | 90703-4259
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Country | US
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Telephone | 562-407-2080
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Fax | 562-407-2082
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN J RODRIGUEZ
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Credential | M.D.
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Telephone | 949-677-7257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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