Individual
MR. ANTHONY JOSEPH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21600 OXNARD ST STE 1030, WOODLAND HILLS, CA 91367-5085
(877) 206-1009
Mailing address
170 E COLLEGE ST UNIT 4412, COVINA, CA 91723-7030
(310) 310-0493
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336633148
—
CA
Enumeration date
06/15/2018
Last updated
08/23/2019
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