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Angel Alexis Rodriguez
Rehabilitation Practitioner in Lancaster, California
NPI 1144815820

Angel Alexis Rodriguez is a Rehabilitation Practitioner based in Lancaster, CA. Angel Alexis Rodriguez practices in Lancaster, CA. The NPI Number for Angel Alexis Rodriguez is 1144815820 and holds a License No. 225400000X (California).

The current practice location address for Angel Alexis Rodriguez is 43520 Division St, Lancaster, CA and can be reached out via phone at 661-266-4783 and via fax at 661-266-1210.

Location: 43520 Division St, Lancaster, CA, 93535-4089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144815820
Provider Name
Angel Alexis Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
43520 Division St, Lancaster, CA, 93535-4089
Phone Number
661-266-4783
Fax Number
661-266-1210
Provider Enumeration Date
03/04/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-26337653 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
661-266-1210
person
Provider Business Mailing Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
661-266-1210
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
225400000X (California)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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