| NPI | 1194920272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GLEN MELLINGER President 818-999-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 14148D.C.) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |