SearchCalifornia101YA0400X

Rodney Henderson, SUDCC 8482

NPI 1093443400 · on the registry since 2022 · sole proprietor

Practice

Address
5320 S Broadway
Los Angeles, CA 90037
Phone
(323) 325-7510

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-12

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