Most Relevant Information
Provider Data
| NPI Number: | 1003557174 |
| Provider Name: | DESIREE RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2022 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
4445 BURNS AVE
LOS ANGELES
CA
900292702
Practice Location Phone/Fax
| Phone: | 3232221440 |
| Fax: |
Provider Mailing Location
4445 BURNS AVE
LOS ANGELES
CA
900292702
Provider Mailing Phone/Fax
| Phone: | 3232221440 |
| Fax: |