| NPI | 1568271252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R. MARTIN President 949-559-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |