| NPI | 1629580188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY MCCORMICK CFO 714-580-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CA 4551) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: CA 4551) |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |