| NPI | 1164623864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL RUSSO President 714-534-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor, Independent Medical Examiner (Licence: CA 22452) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |