| NPI | 1518618495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SAMUEL LOPEZ President 559-627-1710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NP0017X Chiropractor Pediatric Chiropractor |
| 111NR0400X Chiropractor Rehabilitation | |
| 111NS0005X Chiropractor Sports Physician | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-11-01 |