| NPI | 1073823043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA RODRIGUEZ Billing Manager 310-522-5811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 24062) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 24390) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |