| NPI | 1336686153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE GIBSON President 760-724-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: CA DC25328) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC10902) |
| 111NN1001X Chiropractor, Nutrition (Licence: CA DC25328) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC25328) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |