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NPI Code Detail

MEDICARE: DR. RODNEY MARVIN WISHNOW M.D.

MEDICARE: DR. RODNEY MARVIN WISHNOW M.D.
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
1207RI0200XInfectious Disease PhysicianG17506CA

General Provider Information

NPI Number : 1598857500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY MARVIN WISHNOW M.D.
Provider Business Mailing Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 562-826-8000
Fax Number : 562-826-5515
Provider Business Practice Location Address
First Line : 5901 E 7TH ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90822-5201
Country : US
Telephone Number : 562-826-8000
Fax Number : 562-826-5515
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 04/19/2026

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