Individual
EDGAR RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4507 BRIDGEVIEW AVE, PICO RIVERA, CA 90660-1940
(562) 415-3805
Mailing address
4507 BRIDGEVIEW AVE, PICO RIVERA, CA 90660-1940
(562) 415-3805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33517
CA
111NP0017X
Pediatric Chiropractor
33517
CA
111NR0400X
Rehabilitation Chiropractor
33517
CA
111NS0005X
Sports Physician Chiropractor
Primary
33517
CA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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