Physician Compare National (NPI:1467694992)

HEALTHCARE PROVIDER: ARCHIBALD EDMUNDO RODRIGUEZ D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467694992
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567886757
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200721002483
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RODRIGUEZ
	Individual professional last name
Provider First Name	ARCHIBALD
	Individual professional first name
Provider Middle Name	EDMUNDO
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLEVELAND CHIROPRACTIC COLLEGE - LOS ANGELES
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2393 TOWNSGATE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 202
	Group Practice or individual's line 2 address
City	WESTLAKE VILLAGE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	913612517
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8054978581
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M