NPI | 1508036625 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEX S BAEK Chiropractor/Owner 909-548-6868 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA DC27581) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9447) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-04 |