Individual
MIGUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 948-0444
(323) 948-0419
Mailing address
5715 S BROADWAY, LOS ANGELES, CA 90037-4131
(323) 948-0444
(323) 948-0419
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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