Individual provider · Type 1 NPI

Elgedine Rudolph

Day Training/Habilitation Specialist · Los Angeles, CA

NPI number 1669897674 Active

Practice location

631 Maple Ave # B
Los Angeles, CA 90014-2211

Call (213) 673-3001 Map

Fax (213) 626-2458

Mailing address

12021 Wilmington Ave Ste D
Los Angeles, CA 90059-3019

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1669897674

Elgedine Rudolph's National Provider Identifier is 1669897674, issued on Feb 27, 2014. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 14, 2025.