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NPI Code Detail

MEDICARE: MR. RIGO BOBADILLA

MEDICARE: MR. RIGO BOBADILLA
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
11041C0700XClinical Social Worker75530CA

General Provider Information

NPI Number : 1205012184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RIGO BOBADILLA
Provider Business Mailing Address
First Line : 921 E COMPTON BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90221-3303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2309 DALY ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-2230
Country : US
Telephone Number : 323-222-4591
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2008
Last Update Date : 04/21/2021

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Directions to “ MR. RIGO BOBADILLA ” Practice Location

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