Provider Demographics
NPI:1003405358
Name:SAENZ, RODOLFO ELIAS III
Entity Type:Individual
Prefix:MR
First Name:RODOLFO
Middle Name:ELIAS
Last Name:SAENZ
Suffix:III
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RUDY
Other - Middle Name:ELIAS
Other - Last Name:SAENZ
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1300 HILLTOP DR # B
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3874
Mailing Address - Country:US
Mailing Address - Phone:559-417-0544
Mailing Address - Fax:
Practice Address - Street 1:1300 HILLTOP DR # B
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-3874
Practice Address - Country:US
Practice Address - Phone:559-417-0544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator