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Search › California › 101YM0800X

Ethan Rodriguez

NPI 1316807910 · on the registry since 2025

Practice

Address
5723 Melrose Ave
Los Angeles, CA 90038
Phone
(323) 990-8178
Organisation at this address
Ibh Cc Llc
Arise Treatment Homes Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-19

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