| NPI | 1306152996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOUN MATIN Chiropractor 626-917-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA DC23316) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |