Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC25613 | CA |
N | 111NX0100X | Occupational Health | DC25613 | CA |
NPI | 1538243902 |
---|---|
Provider Name | Dr. Oscar L Rodriguez |
First Address | La Puente, CA 91744-5113 |
Second Address | La Puente, CA 91744-5113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |