| 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 |