Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eddie Rudolph

Individual provider Rehabilitation Practitioner · NPI 1164763025

Eddie Rudolph is a Rehabilitation Practitioner in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

3881 S Western Ave
Los Angeles, CA 90062-1105
Phone: (323) 290-4348
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1164763025
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 1, 2013
Last updated in NPPESMarch 1, 2013

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