| NPI | 1215740170 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHARLENE CHANDLER COO 562-370-5523  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | 
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition | 
| 124Q00000X Dental Hygienist | |
| 133N00000X Nutritionist | |
| 207KA0200X Allergy & Immunology, Allergy | |
| Enumeration Date | 2025-01-27 | 
| Last Update Date | 2025-03-10 |