| NPI | 1083647424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S SHAWA President 310-626-8037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: CA C52232) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC27490) |
| 111N00000X Chiropractor (Licence: CA DC29265) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-01-18 |