| NPI | 1487912655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ALYECE NAZEMI Treasurer 760-773-3400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32245) |
| 111N00000X Chiropractor (Licence: CA 32276) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2022-02-24 |