| NPI | 1205617404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBEY HERNANDEZ IKE CEO 714-326-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2025-05-22 |