MEDICARE: DR. MANDY R RHODES DC

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	DC29223	CA
2	111NS0005X	Sports Physician Chiropractor	DC29223	CA

General Provider Information

NPI Number	:	1629026711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANDY R RHODES DC

Provider Business Mailing Address
First Line	:	4105 N VIKING WAY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1403
Country	:	US
Telephone Number	:	562-366-4354
Fax Number	:

Provider Business Practice Location Address
First Line	:	4105 N VIKING WAY
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-1403
Country	:	US
Telephone Number	:	562-366-4354
Fax Number	:

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	09/11/2025

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