Rodriguez, Alex

Rodriguez, Alex is an individual health care provider with primary practice located at 790 E Bonita Ave , Pomona CA 91767-1906. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Counselor. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Rodriguez, Alex can be contacted via phone (909) 625-7207.

Contact Information

Primary practice address
790 E Bonita Ave Pomona CA 91767-1906
Phone: (909) 625-7207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1063555803
LBN Legal business name Rodriguez, Alex
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jan 31st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063555803 NPPES
California Other TRIA121 MIS NUMBER

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