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NPI Code Detail

MEDICARE: RODNEY RENTERIA

MEDICARE: RODNEY RENTERIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1144482910
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY RENTERIA
Provider Business Mailing Address
First Line : 6666 GREEN VALLEY CIR
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-7068
Country : US
Telephone Number : 310-846-5270
Fax Number :
Provider Business Practice Location Address
First Line : 6055 E WASHINGTON BLVD
Second Line : 900
City : COMMERCE
State : CA
Zip : 90040-2449
Country : US
Telephone Number : 323-346-0960
Fax Number : 323-346-0966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2008
Last Update Date : 04/14/2014

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Directions to “ RODNEY RENTERIA ” Practice Location

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