| NPI | 1487024824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R'KIONE W'SELAS BRITTON Owner/President 310-903-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 32158) |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology (Licence: CA 32158) |
| 111NN1001X Chiropractor Nutrition (Licence: CA 32158) | |
| 111NR0400X Chiropractor Rehabilitation (Licence: CA 32158) | |
| 111NS0005X Chiropractor Sports Physician (Licence: CA 32158) | |
| 111NX0800X Chiropractor Orthopedic (Licence: CA 32158) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |