Provider Demographics
NPI:1386341980
Name:LLOYD-RODRIGUEZ, CATRINA
Entity type:Individual
Prefix:
First Name:CATRINA
Middle Name:
Last Name:LLOYD-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 1:125 E SPRING ST APT 1
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1544
Mailing Address - Country:US
Mailing Address - Phone:562-336-0593
Mailing Address - Fax:
Practice Address - Street 1:125 E SPRING ST APT 1
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1544
Practice Address - Country:US
Practice Address - Phone:562-336-0593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA92355773DMedicaid