NPI | 1386846491 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD RAYMOND JACKSON Physician Owner 213-481-7026 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
171100000X Acupuncturist | |
207Q00000X Family Medicine | |
208100000X Physical Medicine & Rehabilitation | |
208D00000X General Practice | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-10-04 |