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NPI Code Detail

MEDICARE: REBECCA RODRIGUEZ CASILLAS

MEDICARE: REBECCA RODRIGUEZ CASILLAS
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
1133V00000XRegistered DietitianCA

General Provider Information

NPI Number : 1750222311
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA RODRIGUEZ CASILLAS
Provider Business Mailing Address
First Line : 10094 DESTINY MOUNTAIN CT
Second Line :
City : SPRING VALLEY
State : CA
Zip : 91978-2067
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 ELM ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2692
Country : US
Telephone Number : 619-677-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ REBECCA RODRIGUEZ CASILLAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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