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Jennifer Ann Rodriguez

Peer Specialist in Los Angeles, CA. Individual provider (NPI-1).

NPI number1497312151
StatusActive
Last updated in NPPESMar 25, 2021

Details

NPI
1497312151
Entity type
Individual (NPI-1)
Name
Jennifer Ann Rodriguez
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2019
Certification date
Mar 25, 2021
Last updated
Mar 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Phone 323-751-3026

Mailing address

3850 Crenshaw Blvd
Los Angeles, CA 90008-1821

Phone 323-751-3026

Other practice locations

12440 Firestone Blvd Ste 3015
Norwalk, CA 90650-9333

Phone 562-864-7821 · Fax 562-864-7864

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