Individual
ELIZABETH TERESE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3215 N SEPULVEDA BLVD, MANHATTAN BEACH, CA 90266-2453
(424) 295-0540
Mailing address
702 LOMA DR, HERMOSA BEACH, CA 90254-4653
(314) 440-3496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20896
CA
Other
Enumeration date
04/01/2010
Last updated
12/05/2021
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