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NPI Code Detail

MEDICARE: VICTORIA FLOR RODRIGUEZ BA

MEDICARE: VICTORIA FLOR RODRIGUEZ BA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1033678586
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA FLOR RODRIGUEZ BA
Provider Business Mailing Address
First Line : 10200 SEPULVEDA BLVD STE 170
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345-3322
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10200 SEPULVEDA BLVD STE 170
Second Line :
City : MISSION HILLS
State : CA
Zip : 91345-3322
Country : US
Telephone Number : 818-895-9759
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2019
Last Update Date : 03/14/2019

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Directions to “ VICTORIA FLOR RODRIGUEZ BA” Practice Location

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