NPI | 1336298249 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY SCOTT JOHNSON President 925-743-8210 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC24925) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2020-08-22 |