| NPI | 1134563687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DAVID NISSENBAUM Owner 650-226-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 31093) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2020-05-19 |