| NPI | 1063051803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE LI Manager 650-206-9539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |