Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | A117732 | CA |
NPI | 1174848832 |
---|---|
Provider Name | Renee Marie Rodriguez |
First Address | Los Altos, CA 94022-1408 |
Second Address | Dublin, CA 94568-3112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 29/05/2020 |