MEDICARE: ELIZABETH RODRIGUEZ

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
1	363LF0000X	Family Nurse Practitioner	95037499	CA

General Provider Information

NPI Number	:	1154273456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH RODRIGUEZ

Provider Business Mailing Address
First Line	:	5939 QUINN ST
Second Line	:
City	:	BELL GARDENS
State	:	CA
Zip	:	90201-5533
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 S ARROYO PKWY STE 201
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2577
Country	:	US
Telephone Number	:	626-844-0555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “ ELIZABETH RODRIGUEZ ” Practice Location

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