| NPI | 1659732105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC CUBIERO President 661-945-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |