Search › California › 1041C0700X
Jose Rodriguez
NPI 1033585021 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12625 Heacock St
Moreno Valley, CA 92553 - Phone
- (951) 486-7948
- Organisation at this address
- County Of Riverside
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 566 S Brand Blvd, San Fernando, CA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
225400000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California