| NPI | 1558605980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG ANDERSON President 310-856-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA G33010) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC24671) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2013-08-08 |