Todd, Roderick Vincent
Todd, Roderick Vincent is an individual health care provider with primary practice located at 1873 W 54Th St , Los Angeles CA 90062-2604. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Todd, Roderick Vincent can be contacted via phone (424) 440-5660.Contact Information
Primary practice address
1873 W 54Th St
Los Angeles CA 90062-2604
Phone: (424) 440-5660
Fax: (310) 349-3660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | California | |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | California | |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | California | |
| Other Service Providers / Driver | 172A00000X | California | |
| Other Service Providers / Peer Specialist | 175T00000X | California | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X | California | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | California |
Profile Details
| NPI number | 1205478088 |
|---|---|
| LBN Legal business name | Todd, Roderick Vincent |
| Credentials | RECOVERY PRACTIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2019 |
| Last updated | Nov 27th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205478088 | NPPES |
| California | MEDICAID | 812735555 |
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