Dr Desiree Veronica Rodgers, MD | |
1014 San Juan Ave, Exeter, CA 93221-1312 | |
(559) 592-7360 | |
(559) 592-5629 |
Full Name | Dr Desiree Veronica Rodgers |
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Gender | Female |
Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
Location | 1014 San Juan Ave, Exeter, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730216987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | G61000 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Desiree Veronica Rodgers, MD 410 W Mineral King Ave, Visalia, CA 93291-6237 Ph: (559) 592-7360 | Dr Desiree Veronica Rodgers, MD 1014 San Juan Ave, Exeter, CA 93221-1312 Ph: (559) 592-7360 |
Dr. David Alan Sine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 216 E Pine St, Exeter, CA 93221 Phone: 559-592-2600 Fax: 559-592-2610 | |
Dr. Kealani Kanehe Sine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 216 E Pine St, Exeter, CA 93221 Phone: 559-592-2600 Fax: 559-592-2610 | |
Dr. Andy Phan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1014 San Juan Ave, Exeter, CA 93221 Phone: 559-592-7371 Fax: 559-624-6590 | |
Maria Ximena Simonuvic, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 330 E Pine St, Exeter, CA 93221 Phone: 559-592-2134 Fax: 559-592-5017 |