Most Relevant Information
Provider Data
| NPI Number: | 1003334442 |
| Provider Name: | JAVIER RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2017 |
| Last Updated: | 09/06/2017 |
Provider Practice Location
3435 OCEAN PARK BLVD STE 207
SANTA MONICA
CA
904053314
Practice Location Phone/Fax
| Phone: | 3103929474 |
| Fax: |
Provider Mailing Location
3435 OCEAN PARK BLVD STE 207
SANTA MONICA
CA
904053314
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |