| Doctor Name: | FERNANDO RODRIGUEZ |
| NPI Number: | 1295031268 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 23701 E East Fork Rd Azusa, CA - 917021477 |
| Business Phone Number: | 6262503300 |
| Business Fax Number: | |
| Mailing Address: | 1940 Fullerton Rd Apt 84, ROWLAND HEIGHTS |
| State: | CA |
| Postal Code: | 917483337 |
| Phone Number: | 6263912264 |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2011 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |