Provider Demographics
NPI:1194808287
Name:CUMMINGS, RODNEY LLOYD (DC)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:LLOYD
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26045 BOUQUET CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2639
Mailing Address - Country:US
Mailing Address - Phone:661-254-6107
Mailing Address - Fax:661-255-2805
Practice Address - Street 1:26045 BOUQUET CANYON RD
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:CA
Practice Address - Zip Code:91350-2639
Practice Address - Country:US
Practice Address - Phone:661-254-6107
Practice Address - Fax:661-255-2805
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC17084111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA644914OtherACN PROVIDER ID
CA953329487OtherASHP ID NUMBER
CA953329487OtherASHP ID NUMBER