MEDICARE: MARIA DE LOS ANGELES 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	374J00000X	Doula

General Provider Information

NPI Number	:	1831085687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA DE LOS ANGELES RODRIGUEZ

Provider Business Mailing Address
First Line	:	16027 BROOKHURST ST # 2052
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-1551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16027 BROOKHURST ST # 2052
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-1551
Country	:	US
Telephone Number	:	714-791-0400
Fax Number	:

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

Provider Enumeration Date	:	06/17/2025
Last Update Date	:	06/17/2025

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