| Doctor Name: | DR. RODNEY SIDRANSKY |
| NPI Number: | 1417212739 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A78625 |
| Business Practice Address: | 7841 Balboa Ave Suite 202 San Diego, CA - 921112311 |
| Business Phone Number: | 6197569168 |
| Business Fax Number: | |
| Mailing Address: | 1395 Caminito Capistrano Unit 3, CHULA VISTA |
| State: | CA |
| Postal Code: | 919133711 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/12/2012 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A78625 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |