Faith Rodezno in San Bernardino - Addiction (substance Use Disorder)

Faith Rodezno - NPI 1407987803

Faith Rodezno is a Addiction (substance Use Disorder) in San Bernardino, California. Faith Rodezno practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Faith Rodezno is 1407987803. The last update date is 2021-05-11.

Faith Rodezno's current location address is Po Box 12055, San Bernardino, California. You can contact this provider via phone number 9096480149. The mailing address for Faith Rodezno is Po Box 12055, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Faith Rodezno
Address Po Box 12055, San Bernardino, California
Phone Number 9096480149
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1407987803
Provider Enumeration Date 2007-03-08
Last Updated Date 2021-05-11

Provider Mailing Address Detail

Address Po Box 12055
City San Bernardino
State California (CA)
Post Code 924232055
Phone Number 9096480149
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8669 CA --

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FAQs about Faith Rodezno

What is the unique 10-digit identifier code issued to Faith Rodezno by the Centers for Medicare & Medicaid Services?

The Faith Rodezno has been assigned the NPI (National Provider Identifier) 1407987803 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Faith Rodezno is physically located?

The Faith Rodezno is situated at the following address: Po Box 12055, San Bernardino, CA 924232055.

What is Faith Rodezno's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Faith Rodezno is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1407987803 to Faith Rodezno?

The Centers for Medicare & Medicaid Services assigned the 1407987803 to Faith Rodezno on 2007-03-08.

As of what date was the information pertaining to Faith Rodezno, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Faith Rodezno, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-05-11.

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