DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FIDENCIO RODRIGUEZ JR.

Active

2279G0305X · SOUTH SAN FRANCISCO, CA

Registration Details

NPI Number
1750852711
Provider Type
Individual
Gender
Male
NPI Issued
Dec 16, 2018 (7.3486968408159 yrs)
Last Updated
Dec 16, 2018
License
27518 (CA)

Practice Information

Address
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA, 940803208
Browse CA providers · Browse ZIP 94080
Phone
6507422169
Primary Specialty
2279G0305X
2279G0305X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.