| NPI | 1568292324 |
|---|---|
| Doing Business As | ELITE BODY REVIVE CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | REZA SHAHBA Co Owner/ Provider 818-912-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |