Individual provider · Type 1 NPI

Eddie Rudolph

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1164763025 Active

Practice location

3881 S Western Ave
Los Angeles, CA 90062-1105

Call (323) 290-4348 Map

Mailing address

3175 S Hoover St, Apt #343
Los Angeles, CA 90007-3196

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1164763025

Eddie Rudolph's National Provider Identifier is 1164763025, issued on Mar 1, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 1, 2013.