| NPI | 1457709586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY W BASCH President / Owner 951-679-4121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 023495) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2017-02-05 |