| NPI | 1194970087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN FONSECA Medical Director 818-705-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA G62809) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2008-11-19 |