Provider Demographics
NPI:1578898250
Name:RODRIGUEZ, FRANCISCO G (DO)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:G
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:330 WEST LAS TUNAS DRIVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776
Mailing Address - Country:US
Mailing Address - Phone:626-284-3300
Mailing Address - Fax:626-284-3307
Practice Address - Street 1:330 WEST LAS TUNAS DRIVE
Practice Address - Street 2:SUITE #1
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776
Practice Address - Country:US
Practice Address - Phone:626-284-3300
Practice Address - Fax:626-284-3300
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2012-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A10175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGF236AMedicare UPIN