Healthcare Provider Details

I. General information

NPI: 1952683831
Provider Name (Legal Business Name): ERNESTO RODRIGUEZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 BURROWS ST
SAN FRANCISCO CA
94134-1449
US

IV. Provider business mailing address

423 BURROWS ST
SAN FRANCISCO CA
94134-1449
US

V. Phone/Fax

Practice location:
  • Phone: 415-330-1530
  • Fax:
Mailing address:
  • Phone: 415-330-1530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: