Dr Jorge A Rodriguez, MD | |
13652 Cantara St, Panorama City, CA 91402-5423 | |
(818) 375-2000 | |
Not Available |
Full Name | Dr Jorge A Rodriguez |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 13652 Cantara St, Panorama 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 |
---|---|---|---|
1770783466 | NPI | - | NPPES |
1770783466 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | 108535 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Dr Jorge A Rodriguez, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Dr Jorge A Rodriguez, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
David Braun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mohamed D. Gudal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mario R. Hemsley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Alice Lim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Veena P. Damle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Karen M. Hirsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary V. Ong-veloso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |