Provider Demographics
NPI:1407038466
Name:RODRIGUEZ, ADRIANA CAMPBELL
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:CAMPBELL
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5296 UNIVERSITY AVE
Mailing Address - Street 2:5005 TEXAS ST. SUITE 203 SAN DIEGO, CA 92108
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-2269
Mailing Address - Country:US
Mailing Address - Phone:619-226-3660
Mailing Address - Fax:
Practice Address - Street 1:5296 UNIVERSITY AVE.
Practice Address - Street 2:5005 TEXAS ST. SAN DIEGO, CA 92108
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105
Practice Address - Country:US
Practice Address - Phone:619-229-3660
Practice Address - Fax:619-265-2408
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator