| NPI | 1104154129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE A. KOHANIM President 310-204-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC 27469) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9487) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2009-12-02 |