DR MARIA ELENA RODRIGUEZ INC A MEDICAL CORPORATION NPI 1639365208

NPI Information

NPI: 1639365208
Provider Name: DR MARIA ELENA RODRIGUEZ INC A MEDICAL CORPORATION
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0930532

Address:
2417 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023
Phone: (323) 881-1641
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DR MARIA ELENA RODRIGUEZ INC A MEDICAL CORPORATION is a general practice in Los Angeles, CA. DR MARIA ELENA RODRIGUEZ INC A MEDICAL CORPORATION NPI is 1639365208. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2417 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90023-355
Phone: (323) 881-1641
Fax: (323) 881-1642

The provider's authorized official is Maria Elena Rodriguez .
The authorized official title is President and has the following contact phone number (323) 881-1641.

The CLIA number assigned to this NPI record is 05D0930532 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2007 and was last updated on 7/16/2009.

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	2080P0201X	Pediatrics	Pediatric Allergy/Immunology	A43620	CALIFORNIA	No
2	208D00000X	General Practice		A43620	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F41049	MEDICARE UPIN	CALIFORNIA

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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