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NPI Code Detail

MEDICARE: GABRIELA ELIZABETH RODRIGUEZ PHT

MEDICARE: GABRIELA ELIZABETH RODRIGUEZ PHT
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
1101YA0400XAddiction (Substance Use Disorder) CounselorRT1428260126CA
2183700000XPharmacy Technician134268CA

General Provider Information

NPI Number : 1245947829
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELA ELIZABETH RODRIGUEZ PHT
Provider Business Mailing Address
First Line : 14924 HUBBARD ST
Second Line :
City : SYLMAR
State : CA
Zip : 91342-5426
Country : US
Telephone Number : 818-675-8692
Fax Number :
Provider Business Practice Location Address
First Line : 14530 SYLVAN ST
Second Line :
City : VAN NUYS
State : CA
Zip : 91411-2324
Country : US
Telephone Number : 818-582-8839
Fax Number : 818-582-8836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2022
Last Update Date : 01/23/2026

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Directions to “ GABRIELA ELIZABETH RODRIGUEZ PHT” Practice Location

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