Rodriguez, Fidel Higinio
Rodriguez, Fidel Higinio is an sole proprietor health care provider with primary practice located at 11600 Eldridge Ave , Sylmar CA 91342-6506. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Rodriguez, Fidel Higinio can be contacted via phone (818) 686-3000.Contact Information
Primary practice address
11600 Eldridge Ave
Sylmar CA 91342-6506
Phone: (818) 686-3000
Fax: (818) 686-6300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF-60253 | California |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1497962476 |
|---|---|
| LBN Legal business name | Rodriguez, Fidel Higinio |
| Credentials | MFTI |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Aug 31st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497962476 | NPPES |
| California | MEDICAID | 1972 |
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