Healthcare Provider Details

I. General information

NPI: 1427837061
Provider Name (Legal Business Name): ROCKER ENERGETICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 N BELLFLOWER BLVD STE 107
LONG BEACH CA
90815-4019
US

IV. Provider business mailing address

6475 E PACIFIC COAST HWY # 278
LONG BEACH CA
90803-4201
US

V. Phone/Fax

Practice location:
  • Phone: 562-525-5246
  • Fax:
Mailing address:
  • Phone: 562-858-1516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DHANELL AZADA ROCKER
Title or Position: CEO/DIRECTOR
Credential: L.AC.
Phone: 562-858-1516