NPI | 1285717645 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM CHIN HO CEO 951-264-4811 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC28958) |
Enumeration Date | 2006-10-21 |
Last Update Date | 2015-04-27 |