NPI | 1669531737 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTY KESSLER Office Manager 310-231-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC16444) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC25828) |
204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CA A54550) | |
363A00000X Physician Assistant (Licence: CA PA18141) | |
363A00000X Physician Assistant (Licence: CA PA15556) | |
363L00000X Nurse Practitioner (Licence: CA 611872) | |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-08-22 |