| NPI | 1316259377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S. BANASIAK Doctor Of Chiropractic 951-587-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC23625) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2024-01-12 |