| NPI | 1063667152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGE C LAZATIN Chiropractor 310-592-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA dc30358) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |