MEDICARE: PAMELA GUADALUPE RODRIGUEZ-OLVERA NONE

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1821953001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA GUADALUPE RODRIGUEZ-OLVERA NONE

Provider Business Mailing Address
First Line	:	14926 INDIANA AVE APT 2
Second Line	:
City	:	PARAMOUNT
State	:	CA
Zip	:	90723-3572
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14926 INDIANA AVE APT 2
Second Line	:
City	:	PARAMOUNT
State	:	CA
Zip	:	90723-3572
Country	:	US
Telephone Number	:	562-618-5170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “ PAMELA GUADALUPE RODRIGUEZ-OLVERA NONE” Practice Location

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