| NPI | 1275696619 |
|---|---|
| Doing Business As | IRVINE SPINE AND SPORT |
| Entity Type | Organization |
| Authorized Contact | KENNETH DAVID ERICKSON Chiropractor 949-857-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2016-09-14 |