| NPI | 1417222506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD CANNON Vice President 619-501-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC30402) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC30407) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |