| NPI | 1043496441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS A DISIENA President 949-559-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC17101) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC17166) |
| 111N00000X Chiropractor (Licence: CA DC25546) | |
| 111N00000X Chiropractor (Licence: CA DC26991) | |
| 111N00000X Chiropractor (Licence: CA DC25305) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2013-09-25 |