Provider Demographics
NPI:1295438000
Name:OSCAR RODRIGUEZ CHIROPRACTIC, INC
Entity type:Organization
Organization Name:OSCAR RODRIGUEZ CHIROPRACTIC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTICIONER
Authorized Official - Prefix:
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-400-1029
Mailing Address - Street 1:716 ARBOLADO DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1808
Mailing Address - Country:US
Mailing Address - Phone:562-400-1029
Mailing Address - Fax:
Practice Address - Street 1:675 N PARK AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-3622
Practice Address - Country:US
Practice Address - Phone:909-868-1160
Practice Address - Fax:909-469-6086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty