MEDICARE: AMY RODRIGUEZ L.AC., DACM

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	171100000X	Acupuncturist	20372	CA

General Provider Information

NPI Number	:	1174480677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY RODRIGUEZ L.AC., DACM

Provider Business Mailing Address
First Line	:	317 N EL CAMINO REAL STE 306
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-2814
Country	:	US
Telephone Number	:	858-673-4400
Fax Number	:	858-673-4499

Provider Business Practice Location Address
First Line	:	15725 POMERADO RD STE 210
Second Line	:
City	:	POWAY
State	:	CA
Zip	:	92064-2059
Country	:	US
Telephone Number	:	858-673-4400
Fax Number	:	858-673-4499

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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