Provider Demographics
NPI:1972853190
Name:RODRIGUEZ, JULIA SUSANA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:SUSANA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3231C BUSINESS PARK DR # 138
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-8526
Mailing Address - Country:US
Mailing Address - Phone:619-286-1273
Mailing Address - Fax:
Practice Address - Street 1:3231C BUSINESS PARK DR # 138
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-8526
Practice Address - Country:US
Practice Address - Phone:619-286-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-14
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37526207Q00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine