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Douglas Rodriguez
Student in an Organized Health Care Education/Training Program in South Pasadena, California
NPI 1699422725

Douglas Rodriguez is a Student in an Organized Health Care Education/Training Program based in Pasadena, CA. Douglas Rodriguez practices in South Pasadena, CA. The NPI Number for Douglas Rodriguez is 1699422725 and holds a License No. (California).

The current practice location address for Douglas Rodriguez is 149 Pasadena Ave Ste A, South Pasadena, CA and can be reached out via phone at 323-274-3065.

Location: 149 Pasadena Ave Ste A, South Pasadena, CA, 91105-2711
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699422725
Provider Name
Douglas Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
149 Pasadena Ave Ste A, South Pasadena, CA, 91105-2711
Phone Number
323-274-3065
Fax Number
Provider Enumeration Date
03/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
149 Pasadena Ave Ste A
City
South Pasadena
State
California
Zip
91030-3351
Phone Number
323-274-3065
Fax Number
person
Provider Business Mailing Address Details
Address
149 Pasadena Ave Ste A
City
South Pasadena
State
California
Zip
91030-3351
Phone Number
323-274-3065
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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