| NPI | 1205617404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBEY HERNANDEZ IKE CEO 714-326-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2025-03-12 |