Individual
BRIAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
(323) 432-5086
Mailing address
11525 HALCOURT AVE, NORWALK, CA 90650-7507
(562) 863-3497
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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