| NPI | 1013998764 |
|---|---|
| Doing Business As | CHIROPRACTIC SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STEVE JON COSTALES Owner President 949-951-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27735) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-09-06 |