Healthcare Provider Details

I. General information

NPI: 1306690631
Provider Name (Legal Business Name): AYLIN RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 HADLEY ST STE 203
WHITTIER CA
90601-4540
US

IV. Provider business mailing address

12415 FARLOW ST
HAWAIIAN GARDENS CA
90716-2307
US

V. Phone/Fax

Practice location:
  • Phone: 562-632-1235
  • Fax:
Mailing address:
  • Phone: 951-553-4453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number10373
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: