| NPI | 1235471079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM GHANEM President 714-533-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor Rehabilitation (Licence: CA 25696) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2013-03-19 |