| NPI | 1669543914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STEVEN JOHNSON Owner 831-566-8236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA 9587) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA PA21442) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-06-06 |