Provider Demographics
NPI:1366321838
Name:RODRIGUEZ RODRIGUEZ, KAREN MISHEL
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MISHEL
Last Name:RODRIGUEZ 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 1:64625 PIERSON BLVD SPC B21
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-2912
Mailing Address - Country:US
Mailing Address - Phone:760-641-5216
Mailing Address - Fax:
Practice Address - Street 1:43500 MONTEREY AVE
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9305
Practice Address - Country:US
Practice Address - Phone:760-346-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty