EDDIE RUDOLPH NPI 1164763025

NPI Information

NPI: 1164763025
Provider Name: EDDIE RUDOLPH
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
3881 S WESTERN AVE
LOS ANGELES, CA
ZIP 90062
Phone: (323) 290-4348
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Eddie Rudolph is a rehabilitation practitioner in Los Angeles, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Eddie Rudolph NPI is 1164763025. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3881 S WESTERN AVE
LOS ANGELES, CA
ZIP 90062-105
Phone: (323) 290-4348

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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