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NPI Code Detail

MEDICARE: NOELLE C RODRIGUEZ M.A.

MEDICARE:   NOELLE C RODRIGUEZ  M.A.
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
1101YP2500XProfessional CounselorPSB35103CA

General Provider Information

NPI Number : 1427388743
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE C RODRIGUEZ M.A.
Provider Business Mailing Address
First Line : 1421 PEARL ST APT D
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-2653
Country : US
Telephone Number : 310-450-2990
Fax Number : 310-450-2990
Provider Business Practice Location Address
First Line : 1421 PEARL ST APT D
Second Line :
City : SANTA MONICA
State : CA
Zip : 90405-2653
Country : US
Telephone Number : 310-450-2990
Fax Number : 310-450-2990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2010
Last Update Date : 02/03/2011

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Directions to “ NOELLE C RODRIGUEZ M.A.” Practice Location

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