Provider Information for 1568044584
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MATTHEW RODGERS LCSW
Sex:
NPI: 1568044584
Last Updated: 2025-01-16
Certification Date: 2025-01-16
Certification Date: 2025-01-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1568044584 | ||||||||
| Enumeration Date | 2021-04-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5901 E 7TH ST LONG BEACH, CA 90822-5201 United States Phone: | Fax: | ||||||||
| Primary Practice Address | LONG BEACH VHA 5901 E 7TH ST LONG BEACH, CA 90822 United States Phone: 562-826-8000 | Fax: | ||||||||
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