| NPI | 1235477837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC DIDOMENICANTONIO Owner 310-325-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC27596) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC19629) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |