Provider Demographics
NPI:1467827527
Name:RODRIGUEZ, JULIO C (MSW)
Entity Type:Individual
Prefix:MR
First Name:JULIO
Middle Name:C
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 GRAND AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-1765
Mailing Address - Country:US
Mailing Address - Phone:562-570-4544
Mailing Address - Fax:562-570-4106
Practice Address - Street 1:2525 GRAND AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-1765
Practice Address - Country:US
Practice Address - Phone:562-570-4544
Practice Address - Fax:562-570-4106
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA600371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical