| NPI | 1245958073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN DIEP President 626-757-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |