Marianne Renee Caballero-Rodri in Stockton - Orthotic Fitter

Marianne Renee Caballero-Rodri - NPI 1659383925

Marianne Renee Caballero-Rodri is a Orthotic Fitter in Stockton, California. Marianne Renee Caballero-Rodri practices all healthcare services and medical treatments related to Orthotic Fitter. The NPI Number for Marianne Renee Caballero-Rodri is 1659383925. The last update date is 2012-10-24.

Marianne Renee Caballero-Rodri's current location address is 1919 Grand Canal Blvd, Stockton, California. You can contact this provider via phone number 2099568737 and fax number 2099562586. The mailing address for Marianne Renee Caballero-Rodri is 1919 Grand Canal Blvd, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Marianne Renee Caballero-Rodri
Address 1919 Grand Canal Blvd, Stockton, California
Phone Number 2099568737
Fax Number 2099562586
Sole Proprietor N
Credentials OT/L, CHT

NPI Number Detail

NPI Number 1659383925
Provider Enumeration Date 2006-08-13
Last Updated Date 2012-10-24

Provider Mailing Address Detail

Address 1919 Grand Canal Blvd
City Stockton
State California (CA)
Post Code 952078114
Phone Number 2099568737
Fax Number 2099562586

Provider's Primary Taxonomy Detail

Speciality Orthotic Fitter
Taxonomy 225000000X
Licence No 2470
Definition:
An individual trained in the management of fitting prefabricated orthoses.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1172170 CA FIRST HEALTH
OT0024700 CA BLUE SHIELD PIN
ZZZ07989Z CA BLUE SHIELD GROUP
171713600 CA DEPARTMENT OF LABOR
5268870001 CA DMERC
P00066568 AR MEDICARE RAILROAD
5530198 CA AETNA

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FAQs about Marianne Renee Caballero-Rodri

What is the unique 10-digit identification code issued to Marianne Renee Caballero-Rodri by the Centers for Medicare & Medicaid Services?

The Marianne Renee Caballero-Rodri has been assigned the NPI (National Provider Identifier) 1659383925 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Marianne Renee Caballero-Rodri is physically located?

The Marianne Renee Caballero-Rodri is physically situated at the following address: 1919 Grand Canal Blvd, Stockton, CA, 952078114.

What is Marianne Renee Caballero-Rodri's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Marianne Renee Caballero-Rodri's specialized field of practice is Orthotic Fitter, and the corresponding taxonomy code that categorizes this area of specialization is 225000000X.

On what date did the Marianne Renee Caballero-Rodri receive the assignment of its 1659383925 from the Centers for Medicare & Medicaid Services?

The Marianne Renee Caballero-Rodri was issued its 1659383925 by the Centers for Medicare & Medicaid Services on 2006-08-13.

When was the Marianne Renee Caballero-Rodri's information last updated?

The Marianne Renee Caballero-Rodri's information was last updated on 2012-10-24.

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