| NPI | 1700326451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MILLIGAN Owner 858-481-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CA 32574) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA 32574) |
| 111NR0400X (Licence: CA 32574) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |