| Rebeccah Rodriguez Regner Llc | |
|
2305 Vista Grande Dr Vista CA 92084-2737 | |
| (602) 421-4204 | |
| Not Available |
| Full Name | Rebeccah Rodriguez Regner Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2305 Vista Grande Dr, Vista, California |
| Authorized Official Name and Position | Michelle Butler (OWNER) |
| Authorized Official Contact | 9169094910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebeccah Rodriguez Regner Llc 2305 Vista Grande Dr Vista CA 92084-2737 Ph: (602) 421-4204 | Rebeccah Rodriguez Regner Llc 2305 Vista Grande Dr Vista CA 92084-2737 Ph: (602) 421-4204 |
| NPI Number | 1821795402 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 08/02/2023 |
| Medicare PECOS PAC ID | 2264804285 |
|---|---|
| Medicare Enrollment ID | O20230220002216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821795402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebeccah R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922288802 PECOS PAC ID: 0749316859 Enrollment ID: I20100329000267 |
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