| NPI | 1063830537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SHAEVITZ President 714-692-7139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC 23109) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |