| NPI | 1639507650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARBOD DADVAND Chiropractor 310-444-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA DC28053) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |