MEDICARE: ANA RODRIGUEZ

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	225400000X	Rehabilitation Practitioner
3	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1760965800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA RODRIGUEZ

Provider Business Mailing Address
First Line	:	8929 S SEPULVEDA BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3643
Country	:	US
Telephone Number	:	310-645-5227
Fax Number	:	323-346-0966

Provider Business Practice Location Address
First Line	:	8929 S SEPULVEDA BLVD STE 201
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3643
Country	:	US
Telephone Number	:	310-645-5227
Fax Number	:

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

Provider Enumeration Date	:	09/14/2018
Last Update Date	:	06/12/2023

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Directions to “ ANA RODRIGUEZ ” Practice Location

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