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NPI Code Detail

MEDICARE: JOSUE RODRIGUEZ

MEDICARE: JOSUE 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
11041C0700XClinical Social Worker125073CA

General Provider Information

NPI Number : 1609399856
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSUE RODRIGUEZ
Provider Business Mailing Address
First Line : 250 W 1ST ST STE 214
Second Line :
City : CLAREMONT
State : CA
Zip : 91711-4743
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 390 N EUCLID AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-4763
Country : US
Telephone Number : 909-949-6526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2017
Last Update Date : 06/05/2025

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Directions to “ JOSUE RODRIGUEZ ” Practice Location

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