NPI | 1457666182 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMIEN JOHANN BURGESS Chiropractor/Owner 949-631-6432 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 31139) |
Enumeration Date | 2010-08-18 |
Last Update Date | 2010-08-18 |