| NPI | 1093249914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOE PHILIS CEO 310-935-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 268581) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |