| NPI | 1104144112 |
|---|---|
| Doing Business As | BEACHSIDE WELLNESS GROUP |
| Entity Type | Organization |
| Authorized Contact | KERRY CLISBY Doctor 562-495-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC-30596) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |