Individual
ANGELINA NIETO-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 E WASHINGTON BLVD STE A, LOS ANGELES, CA 90021-3082
(323) 233-3100
(323) 233-4100
Mailing address
2801 S SAN PEDRO ST, LOS ANGELES, CA 90011-2023
(323) 233-3100
(323) 233-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A166962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407330962
—
CA
Enumeration date
09/20/2018
Last updated
09/02/2021
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