| NPI | 1609297878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHAN Chiropractor 408-624-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA Dc31789) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |