| NPI | 1699954511 |
|---|---|
| Former Legal Business Name | WELLNESS MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | STEVE MOON Manager 949-552-7033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA dc28105) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA dc31295) |
| 111N00000X Chiropractor (Licence: CA dc28583) | |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2011-02-24 |