| NPI | 1376012674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANTEA NIKAEEN Owner 310-699-1559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2019-02-18 |