| NPI | 1316007537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL M FONSECA Director 415-647-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor Radiology (Licence: CA DC24364) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |