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NPI Code Detail

MEDICARE: ELAYZA RODRIGUEZ

MEDICARE: ELAYZA 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
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1558242354
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAYZA RODRIGUEZ
Provider Business Mailing Address
First Line : 2404 F ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-2025
Country : US
Telephone Number : 619-493-0077
Fax Number :
Provider Business Practice Location Address
First Line : 2404 F ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-2025
Country : US
Telephone Number : 619-493-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2025
Last Update Date : 05/19/2026

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Directions to “ ELAYZA RODRIGUEZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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