| NPI | 1518255850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M E President 310-202-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |