ALLEN RODRIGUEZ NPI 1255579850

NPI Information

ALLEN RODRIGUEZ is a customized equipment durable medical equipment medical supplies in Upland, CA. ALLEN RODRIGUEZ NPI is 1255579850. The provider is registered as an organization entity type.
The provider Is Doing Business As Na.

The provider's business location address is:

755 N 1ST AVE
SUITE B
UPLAND, CA
ZIP 91786-001
Phone: (909) 331-6700
Fax: (909) 985-7787

The provider's authorized official is Allen A Rodriguez .
The authorized official title is Ceo and has the following contact phone number (909) 331-6700.

The CLIA number assigned to this NPI record is 05D2198111 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 6/1/2010.

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:

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