| NPI | 1376615807 |
|---|---|
| Other Name | LIFE CHIROPRACTIC COLLEGE WEST |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN GAY Health Cntr Director 510-780-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-04-11 |