| NPI | 1386996635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE LEE Co Owner 949-559-3675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC9915) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC31295) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |