Dr Gina Lucy Rodriguez, MD | |
77 Birch St Ste B, Redwood City, CA 94062-1400 | |
(650) 363-6161 | |
(650) 363-9311 |
Full Name | Dr Gina Lucy Rodriguez |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 77 Birch St Ste B, Redwood City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154450989 | NPI | - | NPPES |
00C430501 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | C43050 (California) | Primary |
Entity Name | Southern Monterey County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20050216000803 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
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Dr Gina Lucy Rodriguez, MD 77 Birch St Ste B, Redwood City, CA 94062-1400 Ph: (650) 363-6161 | Dr Gina Lucy Rodriguez, MD 77 Birch St Ste B, Redwood City, CA 94062-1400 Ph: (650) 363-6161 |
Danny Linggonegoro, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 450 Broadway St Fl C2, Redwood City, CA 94063 Phone: 650-721-7190 | |
Thomas E. Sipes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Jean Chi-hee Rhim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 Veterans Blvd, Redwood City, CA 94063 Phone: 650-299-2000 | |
Roma Hitesh Shah, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 801 Brewster Ave Ste 175, Redwood City, CA 94063 Phone: 650-216-7794 | |
Leslie Sue, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Brewster Ave Ste 175, Redwood City, CA 94063 Phone: 650-216-7794 Fax: 650-216-7796 | |
Gizella Sheila Laksana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2710 Middlefield Rd, Redwood City, CA 94063 Phone: 650-578-7141 Fax: 650-298-6881 |