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EDDIE RUDOLPH
NPI 1164763025
Rehabilitation Practitioner in Los Angeles, CA

Active since March 01, 2013
3881 S WESTERN AVE, LOS ANGELES, CA 90062(323) 290-4348 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eddie Rudolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDIE RUDOLPH (NPI 1164763025) is an individual rehabilitation practitioner in Los Angeles, California and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1164763025
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameEDDIE RUDOLPH
Location Address3881 S WESTERN AVELos Angeles, CA 90062-1105
Mailing Address3175 S Hoover St, Apt #343Los Angeles, CA 90007-3196 · (323) 522-7030
Phone(323) 290-4348
Sole ProprietorYes
Enumeration DateMarch 1, 2013
✔ NPI 1164763025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3881 S WESTERN AVE, Los Angeles, CA 90062
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK OVERTON
Rehabilitation Practitioner
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4374
PAULETTE SEAGRAVES
Counselor
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4340
KIERRA FATUROTI
Licensed Psychiatric Technician
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4357
OLUWADAMILOLA AKINYELURE
Case Manager/Care Coordinator
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (443) 723-0801
EILEEN M FLORES
Marriage & Family Therapist
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (626) 649-9724
JENNIFER DIANE WEBERG BSW
Case Manager/Care Coordinator
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 490-4374
SIMON CHEN MD
Psychiatry & Neurology (Psychiatry)
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (626) 441-6479
MS. TERESA KAREN SIMS
Rehabilitation Practitioner
3881 S WESTERN AVE
LOS ANGELES, CA 90062
Los Angeles County (323) 290-4356

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eddie Rudolph's NPI number?

The NPI number for Eddie Rudolph is 1164763025. It was assigned to this individual provider in the NPPES registry on March 1, 2013.

Where is Eddie Rudolph located?

Eddie Rudolph practices at 3881 S Western Ave, Los Angeles, CA 90062. The listed phone number is (323) 290-4348.

What is Eddie Rudolph's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Eddie Rudolph was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.