| 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 |