Individual
CARLOS LUIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 E 120TH ST, LOS ANGELES, CA 90059-3052
(310) 668-3940
(310) 223-0914
Mailing address
21143 HAWTHORNE BLVD, #449, TORRANCE, CA 90503-4615
(310) 668-3940
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A89335
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A89335
CA
Other
Enumeration date
02/14/2007
Last updated
07/05/2013
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