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Miguel Rodriguez

NPI 1053147694 · on the registry since 2024 · sole proprietor

Practice

Address
503 Ocean Front Walk
Venice, CA 90291
Phone
(310) 392-3070
Organisation at this address
Phoenix Houses Of Los Angeles, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Additional practice sites

  • 815 N El Centro Ave, Los Angeles, CA

Registry record

Primary taxonomy
106H00000X
106H00000X
Also registered as
101YP2500X
171M00000X
101YA0400X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-01

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