| NPI | 1275653362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO PUERTAS Director 510-444-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC30211) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC29674) |
| 171100000X Acupuncturist (Licence: CA AC8559) | |
| 171100000X Acupuncturist (Licence: CA AC8730) | |
| 171100000X Acupuncturist (Licence: CA AC8446) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |