| NPI | 1104990787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CERICE IACOVINO Owner D.C. 949-642-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC26556) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-10-11 |