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Contact Information

NICOLE DOMINIQUE RODEROS, PA-C
1180 N INDIAN CANYON DRIVE
W201
PALM SPRINGS, CA92262
 Phone: 760-416-4575
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE DOMINIQUE RODEROS · (Female)

NPI # 1437946381
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/23/2025
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PA66480
Hospital affiliation(s) Not Available
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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