| NPI | 1619435658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE TOTH Office Manager 916-488-4849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |