| NPI | 1437779642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BURTON Physician 310-980-9764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2021-09-15 |