| NPI | 1467898494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK V JOSEPH Owner / Provider 818-712-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC20646) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2013-05-16 |