Rudy Radillo
Rehabilitation Practitioner in Santa Fe Springs, CA. Individual provider (NPI-1).
NPI number1497897409
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1497897409
- Entity type
- Individual (NPI-1)
- Name
- Rudy Radillo
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 13, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
11721 Telegraph RdSanta Fe Springs, CA 90670-3674
Phone 562-949-8455
Mailing address
12608 Oakthorn LnLa Mirada, CA 90638-2519
Phone 562-458-2580
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 80 Rehabilitation Practitioner providers in Santa Fe Springs · All 1,517 providers in Santa Fe Springs
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