| NPI | 1013943000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J DOMARACKI Co Owner Dc 562-424-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 20570) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA G59739) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A38436) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-01-04 |