Healthcare Provider Details

I. General information

NPI: 1659404994
Provider Name (Legal Business Name): MRS. SYLVIA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 HIGH ST #C
DELANO CA
93215
US

IV. Provider business mailing address

PO BOX 1559 ATTENTION ANN LEE CLINICS SIERRA VISTA
BAKERSFIELD CA
93302-1559
US

V. Phone/Fax

Practice location:
  • Phone: 661-725-2788
  • Fax: 661-725-1957
Mailing address:
  • Phone: 661-635-3050
  • Fax: 661-869-1503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: