| NPI | 1205166675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JERRY BAUNE President/Owner/Provider 310-325-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CA DC13277) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2011-12-02 |