Healthcare Provider Details

I. General information

NPI: 1154098192
Provider Name (Legal Business Name): GABRIELA RODRIGUES AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24251 AVENIDA DE LA CARLOTA STE B1
LAGUNA HILLS CA
92653-7618
US

IV. Provider business mailing address

24251 AVENIDA DE LA CARLOTA STE B1
LAGUNA HILLS CA
92653-7618
US

V. Phone/Fax

Practice location:
  • Phone: 949-667-9818
  • Fax:
Mailing address:
  • Phone: 949-667-9818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU3666
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: