NPI | 1578821229 |
---|---|
Entity Type | Organization |
Authorized Contact | REUBEN A. BAKKAR Administrator 310-537-3467 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC16997) |
Additional Taxonomies | 111NI0013X Chiropractor, Independent Medical Examiner |
111NR0400X Chiropractor, Rehabilitation | |
Enumeration Date | 2012-05-01 |
Last Update Date | 2012-05-01 |