NPI | 1679090559 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT LONG Doctor And Owner Of Practice 949-329-8126 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: CA 33676) |
Enumeration Date | 2017-08-23 |
Last Update Date | 2022-07-21 |