Healthcare Provider Details

I. General information

NPI: 1871858084
Provider Name (Legal Business Name): JOSEPH H. RODD M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2012
Last Update Date: 07/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20710 S. LEAPWOOD AVE. SUITE B
CARSON CA
90746
US

IV. Provider business mailing address

20710 S. LEAPWOOD AVE. SUITE B
CARSON CA
90746
US

V. Phone/Fax

Practice location:
  • Phone: 310-329-2170
  • Fax: 310-329-9026
Mailing address:
  • Phone: 310-329-2170
  • Fax: 310-329-9026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberA40130
License Number StateCA

VIII. Authorized Official

Name: DR. JOSEPH H RODD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-329-2170