| NPI | 1164011235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN R BELTON VP 760-271-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |