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ARCHIBALD EDMUNDO RODRIGUEZ D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1467694992

Individual Registrant:
 ARCHIBALD EDMUNDO RODRIGUEZ D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
1220 LA VENTA DR. #205A WEST LAKE VILLAGE, CA 91361 US
Tel: 805-497-8581  Fax: 805-497-8582

Contact information for business:
638 LINDERO CYN. RD. #270 OAK PARK, CA 91377 US
Tel: 805-497-8581  Fax: 805-497-8582

Registration Information:
NPI: 1467694992
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
CA27637

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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