Healthcare Provider Details

I. General information

NPI: 1982472072
Provider Name (Legal Business Name): RODOLFO TAPIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RODOLFO TAPIA LOZANO

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2737 W CECIL AVE
DELANO CA
93215-1821
US

IV. Provider business mailing address

2737 W CECIL AVE
DELANO CA
93215-1821
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-2345
  • Fax:
Mailing address:
  • Phone: 661-721-2345
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-AYQLMR
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: