| NPI | 1629123559 |
|---|---|
| Doing Business As | PARK CENTER - EAST |
| Entity Type | Organization |
| Authorized Contact | JUDY F. LANE Owner 818-222-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor, Nutrition (Licence: CA DC14679) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: CA DC25493) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC14679) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CA DC25493) | |
| 171100000X Acupuncturist (Licence: CA AC5637) | |
| 111NS0005X Chiropractor, Sports Physician (Licence: CA DC15677) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-17 |