Provider Demographics
NPI:1609425883
Name:RODAS, VICTORIA HELENA
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:HELENA
Last Name:RODAS
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 1:1600 VINE ST APT 333
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8821
Mailing Address - Country:US
Mailing Address - Phone:323-330-5539
Mailing Address - Fax:
Practice Address - Street 1:1600 VINE ST APT 333
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8821
Practice Address - Country:US
Practice Address - Phone:213-634-0106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13171101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional