| NPI | 1679673719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT STEVEN BOOTH Clinic Director 661-324-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CA A89666) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC0143200) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-04-30 |