| NPI | 1245351808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JONATHAN PARK CEO 213-480-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29535) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A54010) |
| 174400000X Specialist (Licence: CA 20A8246) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-11-19 |