NPI | 1073844494 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY ALAN JACOB Pres 310-339-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 12432) |
Enumeration Date | 2010-01-25 |
Last Update Date | 2010-01-25 |