NPI | 1164557476 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK W MASON Owner CEO 949-752-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC26899) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26839) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-08-22 |