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NPI Code Detail

MEDICARE: ALEXA MARY RODELL

MEDICARE: ALEXA MARY RODELL
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
11041C0700XClinical Social Worker85009CA

General Provider Information

NPI Number : 1457655813
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA MARY RODELL
Provider Business Mailing Address
First Line : 5322 BELLFLOWER BLVD
Second Line :
City : LAKEWOOD
State : CA
Zip : 90713-1414
Country : US
Telephone Number : 714-272-7787
Fax Number :
Provider Business Practice Location Address
First Line : 17111 BEACH BLVD STE 204
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5947
Country : US
Telephone Number : 714-272-7787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2010
Last Update Date : 11/24/2020

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Directions to “ ALEXA MARY RODELL ” Practice Location

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