MEDICARE: LAURA RODRIGUEZ

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1588505796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA RODRIGUEZ

Provider Business Mailing Address
First Line	:	1470 CRESWELL DR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-6756
Country	:	US
Telephone Number	:	530-923-8240
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 CIVIC CENTER BLVD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-3013
Country	:	US
Telephone Number	:	530-692-5325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2026
Last Update Date	:	04/02/2026

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Directions to “ LAURA RODRIGUEZ ” Practice Location

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