Individual
AIDEE ELENA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612-2407
(949) 405-1189
Mailing address
1534 W RIVER LN, SANTA ANA, CA 92706-1450
(949) 405-1189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4042
CA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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