Individual
CARLOS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 W GRAHAM AVE STE 106, LAKE ELSINORE, CA 92530-3665
(888) 638-8457
Mailing address
506 W GRAHAM AVE STE 106, LAKE ELSINORE, CA 92530-3665
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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