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ARCHIBALD EDMUNDO RODRIGUEZ D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1467694992
Individual Registrant: ARCHIBALD EDMUNDO RODRIGUEZ D.C.
Gender: M
Sole Proprietor
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
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
Tel: 805-497-8581 Fax: 805-497-8582
Registration Information:
NPI: 1467694992
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | CA | 27637 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
