MEDICARE: MR. RODNEY ALEXANDER ARTILES L.AC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	16456	CA

General Provider Information

NPI Number	:	1174906614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RODNEY ALEXANDER ARTILES L.AC.

Provider Business Mailing Address
First Line	:	2410 8TH AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94606-2116
Country	:	US
Telephone Number	:	510-501-0564
Fax Number	:

Provider Business Practice Location Address
First Line	:	2706 PARK BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94606-1523
Country	:	US
Telephone Number	:	510-501-0564
Fax Number	:	510-903-4252

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	01/04/2016

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