| NPI | 1477650091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY J BAE Secretary 818-343-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC29321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A93050) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |