Kristin M Rodriguez, DO | |
1301 Rose Drive, Placentia, CA 92870 | |
(714) 993-2000 | |
Not Available |
Full Name | Kristin M Rodriguez |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1301 Rose Drive, Placentia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205880598 | NPI | - | NPPES |
00AX69610 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A6961 (California) | Secondary |
207P00000X | Emergency Medicine | OP61224612 (Washington) | Primary |
Entity Name | Northwest Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235172370 PECOS PAC ID: 3476462334 Enrollment ID: O20041214000892 |
Entity Name | Northwest Observation Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023539376 PECOS PAC ID: 9032480942 Enrollment ID: O20170810000470 |
Mailing Address | Practice Location Address |
---|---|
Kristin M Rodriguez, DO Po Box 10279, Westminster, CA 92685-0279 Ph: (562) 809-3545 | Kristin M Rodriguez, DO 1301 Rose Drive, Placentia, CA 92870 Ph: (714) 993-2000 |
Heather K Mineo, DVM, DACVECC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1908 Spahn Ln, Placentia, CA 92870 Phone: 714-496-3693 | |
David Thomas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Rose Drive, Placentia, CA 92870 Phone: 714-993-2000 | |
John Gambol, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1041 E Yorba Linda Blvd Ste 203, Placentia, CA 92870 Phone: 818-709-8161 Fax: 818-709-8160 | |
Dr. Paulina Arosemena Mendoza-mancini, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 N Rose Dr, Placentia, CA 92870 Phone: 714-524-4827 | |
Dr. Eugene John Kim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1301 N Rose Dr, Placentia, CA 92870 Phone: 714-524-4827 | |
Bryan C Hoynak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1301 Rose Dr, Placentia, CA 92870 Phone: 714-993-2000 |