Mr Roderick Vincent Todd, RECOVERY PRACTIONER is a
Rehabilitation Practitioner based in Los Angeles, California. Mr Roderick Vincent Todd is licensed to practice in California (license number ) and his current practice location is
1873 W 54th St, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(424) 440-5660.
NPI number for Mr Roderick Vincent Todd is 1205478088 and his current mailing address is 1873 W 54th St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205478088.
Healthcare Provider's Profile
| Full Name | Mr Roderick Vincent Todd |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1873 W 54th St, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205478088
- Provider Enumeration Date: 10/12/2019
- Last Update Date: 11/27/2023
Medical Identifiers
Medical identifiers for Mr Roderick Vincent Todd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205478088 | NPI | - | NPPES |
| 812735555 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 104100000X | Social Worker | (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (California) | Secondary |
| 172A00000X | Driver | (California) | Secondary |
| 175T00000X | Peer Specialist | (California) | Secondary |
| 222Q00000X | Developmental Therapist | (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Roderick Vincent Todd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Roderick Vincent Todd, RECOVERY PRACTIONER
1873 W 54th St,
Los Angeles, CA 90062-2604
Ph: (424) 440-5660 | Mr Roderick Vincent Todd, RECOVERY PRACTIONER
1873 W 54th St,
Los Angeles, CA 90062-2604
Ph: (424) 440-5660 |
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