Provider Demographics
NPI:1356469050
Name:RODARTE, CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:RODARTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9415 CAMPUS POINT DR # MC0946
Mailing Address - Street 2:SHILEY EYE CENTER
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0946
Mailing Address - Country:US
Mailing Address - Phone:858-534-8858
Mailing Address - Fax:858-822-0040
Practice Address - Street 1:9415 CAMPUS POINT DR # MC0946
Practice Address - Street 2:SHILEY EYE CENTER
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0946
Practice Address - Country:US
Practice Address - Phone:858-534-8858
Practice Address - Fax:858-822-0040
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2021-12-01
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Provider Licenses
StateLicense IDTaxonomies
CAA108611207W00000X
MI4301086264207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology