| NPI | 1619193653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT WAYNE COLLINS Owner/President 626-449-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2017-03-31 |