Doctor Name: | MS. BRENDA PATRICIA RODRIGUEZ |
NPI Number: | 1508035437 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 14414 Delano Street Esfv Van Nuys, CA - 91401 |
Business Phone Number: | 8183742000 |
Business Fax Number: | 8183742322 |
Mailing Address: | 9150 East Imperial Highway, Room P-31 DOWNEY |
State: | CA |
Postal Code: | 90242 |
Phone Number: | 5629403694 |
Fax Number: | 5626584725 |
NPI Enumeration Date: | 02/25/2008 |
NPI Last Update Date: | 02/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |