Individual
YVAN RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
827 22ND ST, SANTA MONICA, CA 90403-2008
(303) 776-5298
Mailing address
1908 THOMES AVE STE 12550, CHEYENNE, WY 82001-3527
(303) 776-5298
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301086272
MI
2084N0600X
Clinical Neurophysiology Physician
Primary
CDRH.0064752
CO
Other
Enumeration date
05/19/2010
Last updated
10/20/2025
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