NPI | 1659389179 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DORENE CLEVELAND-BOSTEN President 310-559-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC17611) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2015-01-05 |