| NPI | 1114130796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ANTONIO VARGAS Corp Officer 310-325-2467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC15477) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2010-11-30 |