Rodolfo Diaz, is a
Social Worker based in Redondo Beach, California. Rodolfo Diaz is licensed to practice in * (Not Available) (license number ) and his current practice location is
1200 Del Amo St, Redondo Beach, California. He can be reached at his office (for appointments etc.) via phone at
(310) 374-3426.
NPI number for Rodolfo Diaz is 1104553122 and his current mailing address is 1200 Del Amo St, Redondo Beach, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104553122.
Healthcare Provider's Profile
| Full Name | Rodolfo Diaz |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker |
|---|
| Location | 1200 Del Amo St, Redondo Beach, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104553122
- Provider Enumeration Date: 08/01/2022
- Last Update Date: 04/08/2025
Medical Identifiers
Medical identifiers for Rodolfo Diaz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104553122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 109585 (California) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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. Rodolfo Diaz 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 |
|---|
Rodolfo Diaz,
1200 Del Amo St,
Redondo Beach, CA 90277-3050
Ph: (310) 374-3426 | Rodolfo Diaz,
1200 Del Amo St,
Redondo Beach, CA 90277-3050
Ph: (310) 374-3426 |
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