| NPI | 1629177340 |
|---|---|
| Doing Business As | PACIFIC COAST SPINE AND REHAB |
| Entity Type | Organization |
| Authorized Contact | DANA ELMORE CLARK Director 310-473-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC28616) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-01-09 |