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 |