Individual
JONATHAN EDUARDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
12125 GREVILLEA AVE, HAWTHORNE, CA 90250-0234
(323) 350-0235
Mailing address
12125 GREVILLEA AVE, HAWTHORNE, CA 90250-0234
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95247980
CA
363LF0000X
Family Nurse Practitioner
95038541
CA
Other
Enumeration date
08/28/2025
Last updated
03/06/2026
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