MEDICARE: DR. OSCAR L RODRIGUEZ D.C

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	111N00000X	Chiropractor	DC25613	CA
2	111NX0100X	Occupational Health Chiropractor	DC25613	CA

General Provider Information

NPI Number	:	1538243902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSCAR L RODRIGUEZ D.C

Provider Business Mailing Address
First Line	:	569 S AZUSA WAY
Second Line	:
City	:	LA PUENTE
State	:	CA
Zip	:	91744-5113
Country	:	US
Telephone Number	:	626-854-1144
Fax Number	:	626-854-1804

Provider Business Practice Location Address
First Line	:	569 S AZUSA WAY
Second Line	:
City	:	LA PUENTE
State	:	CA
Zip	:	91744-5113
Country	:	US
Telephone Number	:	626-854-1144
Fax Number	:	626-854-1804

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

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	09/11/2025

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