| NPI | 1295692853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE PARK President 949-701-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| 171100000X Acupuncturist | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2026-01-06 |
| Last Update Date | 2026-02-06 |