Mrs Erica Diana Rodriguez, MS, CCC-A | |
7373 West Ln, Stockton, CA 95210-3377 | |
(209) 476-2080 | |
Not Available |
Full Name | Mrs Erica Diana Rodriguez |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 7373 West Ln, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225288806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AU2580 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mrs Erica Diana Rodriguez, MS, CCC-A 7373 West Ln, Stockton, CA 95210-3377 Ph: () - | Mrs Erica Diana Rodriguez, MS, CCC-A 7373 West Ln, Stockton, CA 95210-3377 Ph: (209) 476-2080 |
Ms. Kimberly Tersilla Smith, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 10200 Trinity Pkwy Ste 201, Stockton, CA 95219 Phone: 209-952-0483 Fax: 209-478-5785 | |
Aunyaporn Amornpongchai, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 Phone: 209-946-7378 | |
Dr. Ken Edward Norton, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1231 W Robinhood Dr Ste A2, Stockton, CA 95207 Phone: 209-957-1744 Fax: 209-957-1147 | |
Stockton Hearing & Speech Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4623 Quail Lakes Drive, Stockton, CA 95207 Phone: 209-951-6491 | |
Ms. Andrea Lynn Wallace, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-3427 Fax: 209-476-3142 | |
Munirah Awad, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 3601 Pacific Ave, Stockton, CA 95211 Phone: 209-946-7378 |