| NPI | 1407093552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ROTHSTEIN Secretary 714-609-7966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 25792) |
| Additional Taxonomies | 111NR0400X (Licence: CA 25792) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2009-01-12 |