| NPI | 1386879682 |
|---|---|
| Doing Business As | FOUNTAIN SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | SEON HOON SEAN KIM President 714-610-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29494) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2012-07-13 |