NPI | 1184746927 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR ROBERT RAFA President 949-454-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CA G060299) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC-28755) |
111N00000X Chiropractor (Licence: CA DC-28726) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2017-04-13 |