| NPI | 1659494656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BRADSHAW Owner 310-652-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: CA dc24091) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-06-13 |