Healthcare Provider Details

I. General information

NPI: 1871044297
Provider Name (Legal Business Name): MISS KATHERINNE JOHANNA AUCARURI RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2016
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7285 QUILL DR
DOWNEY CA
90242-2001
US

IV. Provider business mailing address

1189 W SIERRA MADRE AVE APT 1
AZUSA CA
91702-1647
US

V. Phone/Fax

Practice location:
  • Phone: 213-677-4215
  • Fax:
Mailing address:
  • Phone: 323-884-7260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number116126
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number136444
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: