| NPI | 1528229077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY GIACALONE Clinic Director 310-376-8949 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: 14606) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2008-06-18 |