Individual
SAMUEL ISAAC RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13210 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4510
(562) 574-2637
Mailing address
13210 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4510
(562) 574-2637
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-LQGPFV
CA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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