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Contact Information

RODOLFO V AGBUNAG, MD
1409 E BRIGGSMORE AVE
MODESTO, CA95355-2707
 Phone: 209-550-4788
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for RODOLFO V AGBUNAG · (Male)

NPI Number 1316995111
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 12/08/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A67171
  • CA Medicaid 00A671710
Hospital affiliation(s)
  • PALOMAR MEDICAL CENTER - (Acute Care)
    555 E VALLEY PARKWAY
    ESCONDIDO, CA 92025
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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