Provider Demographics
NPI:1700597879
Name:ANGELA M RODRIGUEZ INC
Entity Type:Organization
Organization Name:ANGELA M RODRIGUEZ INC
Other - Org Name:ART SURGICAL INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEHNGUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-680-1120
Mailing Address - Street 1:PO BOX 750
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94942-0750
Mailing Address - Country:US
Mailing Address - Phone:156-801-1120
Mailing Address - Fax:
Practice Address - Street 1:2100 WEBSTER ST STE 416
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2379
Practice Address - Country:US
Practice Address - Phone:520-909-4196
Practice Address - Fax:415-228-6882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty