Healthcare Provider Details

I. General information

NPI: 1194808287
Provider Name (Legal Business Name): RODNEY LLOYD CUMMINGS D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 09/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26045 BOUQUET CANYON RD
SAUGUS CA
91350-2639
US

IV. Provider business mailing address

26045 BOUQUET CANYON RD
SAUGUS CA
91350-2639
US

V. Phone/Fax

Practice location:
  • Phone: 661-254-6107
  • Fax: 661-255-2805
Mailing address:
  • Phone: 661-254-6107
  • Fax: 661-255-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC17084
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: