| NPI | 1023503679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHAZALEH MONICA MAHMOUDI Owner 310-519-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 33876) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA 18047) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-07-23 |