| NPI | 1568408011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY LEE BENDER Administrator 661-325-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |