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NPI Code Detail

MEDICARE: MISS TANIA C RODRIGUEZ

MEDICARE: MISS TANIA C 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
1104100000XSocial Worker

General Provider Information

NPI Number : 1457166621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TANIA C RODRIGUEZ
Provider Business Mailing Address
First Line : 1170 E 64TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90001-1663
Country : US
Telephone Number : 747-724-7243
Fax Number :
Provider Business Practice Location Address
First Line : 3310 W CENTURY BLVD
Second Line :
City : INGLEWOOD
State : CA
Zip : 90303-1305
Country : US
Telephone Number : 747-724-7243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2025
Last Update Date : 02/12/2025

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Directions to “ MISS TANIA C RODRIGUEZ ” Practice Location

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