| NPI | 1679926604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D OLSON Officer 858-436-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2025-04-16 |