MR. SAMUEL RODRIGUEZ JR. B.A
NPI 1275817025
Counselor - Mental Health in Pomona, CA
Active since September 28, 2011
About Mr. Samuel Rodriguez Jr. B.a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL RODRIGUEZ JR. B.A (NPI 1275817025) is an individual mental health provider in Pomona, California and active in the NPI registry since September 2011.
NPPES Registry Identity
NPI1275817025
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. SAMUEL RODRIGUEZ JR.Credential: B.A
Location Address1460 E HOLT AVE, #8Pomona, CA 91767-5856
Mailing Address11813 Wolcott StAdelanto, CA 92301-3737 · (909) 725-8508
Phone(909) 865-0209
Sole ProprietorYes
Enumeration DateSeptember 28, 2011
✔ NPI 1275817025 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1460 E HOLT AVE, Pomona, CA 91767
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275817025, enumerated as an "individual" on September 28, 2011.
The provider is located at 1460 E HOLT AVE #8 POMONA, CA 91767 and the phone number is (909) 865-0209.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
