NPI | 1063659753 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WALTER KELBERMAN Director Chiro & Clinical Services 310-231-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 16444) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2009-01-16 |