Individual
EDDIE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3881 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(323) 290-4348
Mailing address
3175 S HOOVER ST, APT #343, LOS ANGELES, CA 90007-3196
(323) 522-7030
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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