| NPI | 1104938349 |
|---|---|
| Doing Business As | SPORTS CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DANIELA KWAN OCASIO CEO 626-449-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28110) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30040) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-24 |