Healthcare Provider Details

I. General information

NPI: 1295925808
Provider Name (Legal Business Name): CYNTHIA JANET RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 ROSELIN PL
LOS ANGELES CA
90039-3320
US

IV. Provider business mailing address

2112 ROSELIN PL
LOS ANGELES CA
90039-3320
US

V. Phone/Fax

Practice location:
  • Phone: 562-682-8398
  • Fax:
Mailing address:
  • Phone: 562-682-8398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: