| NPI | 1164479713 |
|---|---|
| Doing Business As | GRAND AVENUE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | EDWARD LLOYD PINSON President 858-273-1721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 27356) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-08-22 |