Individual
GUADALUPE T CANAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3865
(323) 999-2404
Mailing address
1625 W OLYMPIC BLVD STE 600, LOS ANGELES, CA 90015-3865
(323) 999-2404
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-YKHDQW
CA
Other
Enumeration date
12/17/2013
Last updated
06/27/2023
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