| NPI | 1518454065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA B LE President 714-613-2434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 24469) |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2025-02-13 |