| NPI | 1215116033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DALE IVERSEN Owner/ Chiropractic Physician 714-633-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: CA 19846) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2016-06-02 |