Leonel L Rodriguez Md A Medical Corporation | |
205 N 1st St Ste C Blythe CA 92225-1777 | |
(760) 922-8330 | |
(760) 922-8320 |
Full Name | Leonel L Rodriguez Md A Medical Corporation |
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Speciality | Family Medicine |
Location | 205 N 1st St Ste C, Blythe, California |
Authorized Official Name and Position | Leonel Lamon Rodriguez (PHYSICIAN) |
Authorized Official Contact | 7609228330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leonel L Rodriguez Md A Medical Corporation 205 N 1st St Ste C Blythe CA 92225-1777 Ph: (760) 922-8330 | Leonel L Rodriguez Md A Medical Corporation 205 N 1st St Ste C Blythe CA 92225-1777 Ph: (760) 922-8330 |
NPI Number | 1033346994 |
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Provider Enumeration Date | 06/18/2009 |
Last Update Date | 02/29/2024 |
Medicare PECOS PAC ID | 3779634787 |
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Medicare Enrollment ID | O20090706000012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033346994 | NPI | - | NPPES |
00A546001 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Leonel L Rodriguez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912098872 PECOS PAC ID: 7416008420 Enrollment ID: I20090706000010 |
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