| NPI | 1194527184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SWEENEY CFO 714-759-2405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 111NI0013X Chiropractor, Independent Medical Examiner | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-03-27 |