| NPI | 1013173749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE BEALE Chiropractor 818-883-5730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CA 19046) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |