Healthcare Provider Details

I. General information

NPI: 1649014010
Provider Name (Legal Business Name): MRS. CLAUDIA RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W BIG SPRINGS RD
RIVERSIDE CA
92507-4725
US

IV. Provider business mailing address

235 W BIG SPRINGS RD
RIVERSIDE CA
92507-4725
US

V. Phone/Fax

Practice location:
  • Phone: 951-247-1700
  • Fax:
Mailing address:
  • Phone: 951-247-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: