NPI | 1063799286 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG LIEBENSON Doctor Of Chiropractic/ Owner 310-470-2909 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC18136) |
Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC18136) |
Enumeration Date | 2011-11-16 |
Last Update Date | 2011-11-16 |