| NPI | 1073871547 |
|---|---|
| Doing Business As | HEALTH SOURCE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID COSTANTINO Owner/CEO 310-798-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 21279) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |