| NPI | 1104185313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAISA MCDONNALL COPPOLA Owner/Chiropractor 949-545-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2018-10-12 |