| NPI | 1255730214 |
|---|---|
| Doing Business As | INTEGRATIVE HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | RODRIGO PINA Owner 310-792-5490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111NR0400X (Licence: CA DC29273) |
| Additional Taxonomies | 111NR0400X (Licence: CA DC29192) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-29 |